Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $39.81	Professional		$22.91	$32.36	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $95.50	Facility		$52.48	$95.50	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $66.07	Professional		$44.67	$52.48	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $213.80	Facility		$26.30	$26.30	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $64.57 / $100.00	Professional		$26.30	$64.57	$100.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $61.66	Facility		$16.98	$33.88	$61.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $56.23 / $251.19	Facility		$16.98	$56.23	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $52.48	Professional		$22.39	$29.51	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.12 / $89.13	Professional		$22.91	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.75 / $15.85	Professional		$6.92	$11.75	$15.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $102.33 / $251.19	Facility		$26.30	$102.33	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $40.74	Professional		$26.30	$26.30	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $21.88 / $38.90	Facility		$2.51	$21.88	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $53.70	Professional		$19.95	$28.84	$53.70