Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $75.86	Professional		$38.90	$51.29	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $120.23 / $120.23	Facility		$66.07	$120.23	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $97.72	Professional		$61.66	$66.07	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $263.03	Facility		$43.65	$57.54	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $125.89	Professional		$43.65	$91.20	$125.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $93.33 / $138.04	Facility		$43.65	$93.33	$138.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $117.49 / $309.03	Facility		$43.65	$117.49	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $104.71	Professional		$38.02	$63.10	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $89.13	Professional		$50.12	$58.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $17.78	Professional		$8.71	$13.49	$17.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $138.04 / $316.23	Facility		$43.65	$138.04	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $104.71	Professional		$43.65	$43.65	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $31.62 / $70.79	Facility		$4.17	$31.62	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $102.33	Professional		$37.15	$61.66	$102.33