Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $66.07	Professional		$33.88	$61.66	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $338.84	Facility		$208.93	$245.47	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $112.20 / $151.36	Professional		$33.11	$112.20	$151.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $77.62	Facility		$56.23	$64.57	$77.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $104.71	Professional		$70.79	$89.13	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $120.23	Facility		$57.54	$74.13	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $72.44	Professional		$26.92	$38.02	$72.44
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 $75.86 / $120.23 / $208.93	Professional		$75.86	$120.23	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $363.08	Facility		$158.49	$158.49	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $117.49 / $389.05	Professional		$33.11	$117.49	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $58.88	Professional		$26.92	$37.15	$58.88