Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $40.74	Professional		$28.18	$37.15	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $104.71	Facility		$57.54	$104.71	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $72.44	Professional		$48.98	$57.54	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $218.78	Facility		$36.31	$36.31	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $109.65	Professional		$36.31	$66.07	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $67.61	Facility		$19.50	$45.71	$67.61
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 $19.50 / $56.23 / $257.04	Facility		$19.50	$56.23	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $52.48	Professional		$25.70	$33.88	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $50.12 / $89.13	Professional		$20.42	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $16.98	Professional		$7.59	$12.30	$16.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $114.82 / $257.04	Facility		$36.31	$114.82	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $43.65	Professional		$30.90	$36.31	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $22.91 / $41.69	Facility		$2.82	$22.91	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $57.54	Professional		$20.89	$33.11	$57.54