Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $245.47	Professional		$19.05	$19.05	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $70.79	Professional		$2.04	$2.04	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $74.13	Professional		$20.42	$26.30	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $43.65	Facility		$12.30	$12.30	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $112.20	Facility		$12.30	$12.30	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $42.66	Professional		$12.02	$13.80	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $79.43	Professional		$26.92	$54.95	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $151.36	Facility		$50.12	$50.12	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $19.50	Facility		$12.02	$19.05	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $44.67	Professional		$10.00	$13.80	$44.67