Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $19.95	Professional		$12.88	$16.98	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $45.71	Facility		$25.12	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $30.90	Professional		$21.88	$25.12	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.38 / $100.00	Facility		$15.85	$21.38	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $47.86	Professional		$15.85	$30.90	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.18 / $41.69	Facility		$11.48	$28.18	$41.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $40.74 / $114.82	Facility		$11.48	$40.74	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $28.84	Professional		$12.88	$17.78	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $50.12 / $89.13	Professional		$15.14	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.50 / $7.41	Professional		$3.31	$5.50	$7.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $48.98 / $123.03	Facility		$15.85	$48.98	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $20.89	Professional		$15.85	$15.85	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $10.00 / $18.62	Facility		$1.51	$10.00	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $31.62	Professional		$12.02	$16.98	$31.62