Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $47.86	Professional		$30.90	$32.36	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Facility		$162.18	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $75.86 / $87.10	Professional		$18.62	$75.86	$87.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $30.90	Facility		$19.95	$19.95	$30.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $371.54	Professional		$245.47	$275.42	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $147.91	Facility		$19.95	$36.31	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $70.79	Professional		$61.66	$61.66	$70.79
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 $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $169.82	Facility		$64.57	$64.57	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $37.15	Professional		$18.62	$18.62	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88