Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $26.92	Professional		$14.13	$22.91	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $87.10	Professional		$23.99	$34.67	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.44 / $30.90	Facility		$14.79	$23.44	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $5,754.40	Facility		$15.14	$25.70	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $154.88	Professional		$25.12	$38.90	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $83.18	Professional		$33.88	$56.23	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $154.88	Facility		$57.54	$57.54	$154.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $154.88	Professional		$104.71	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $75.86	Professional		$24.55	$35.48	$75.86