Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $38.90	Professional		$19.95	$28.18	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $67.61 / $67.61	Facility		$37.15	$67.61	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $50.12	Professional		$32.36	$37.15	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $32.36 / $151.36	Facility		$24.55	$32.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $45.71 / $70.79	Professional		$24.55	$45.71	$70.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $48.98 / $69.18	Facility		$16.60	$48.98	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $60.26 / $173.78	Facility		$16.60	$60.26	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $50.12	Professional		$19.05	$29.51	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $89.13	Professional		$25.12	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.94 / $10.47	Professional		$4.90	$7.94	$10.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $74.13 / $173.78	Facility		$24.55	$74.13	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $31.62	Professional		$24.55	$24.55	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $17.78 / $26.92	Facility		$2.19	$17.78	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $51.29	Professional		$17.38	$28.18	$51.29