Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $61.66	Professional		$32.36	$57.54	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $81.28	Professional		$67.61	$67.61	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $316.23	Facility		$194.98	$223.87	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $104.71 / $138.04	Professional		$30.90	$104.71	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $60.26 / $72.44	Facility		$52.48	$60.26	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $134.90	Professional		$66.07	$87.10	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $69.18 / $112.20	Facility		$53.70	$69.18	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $66.07	Professional		$25.12	$35.48	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $190.55	Professional		$70.79	$109.65	$190.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $338.84	Facility		$144.54	$144.54	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $109.65 / $363.08	Professional		$30.90	$109.65	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $53.70	Professional		$25.12	$34.67	$53.70