Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $79.43	Professional		$64.57	$79.43	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $83.18	Professional		$50.12	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $109.65 / $151.36	Facility		$95.50	$109.65	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $50.12	Professional		$26.30	$44.67	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $79.43	Facility		$63.10	$79.43	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $89.13	Facility		$79.43	$79.43	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $100.00	Facility		$83.18	$83.18	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $60.26 / $128.82	Professional		$16.98	$60.26	$128.82