Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $31.62	Professional		$15.14	$22.91	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $66.07	Facility		$40.74	$40.74	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $42.66	Professional		$19.50	$37.15	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $120.23 / $199.53	Facility		$25.12	$120.23	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $56.23 / $75.86	Professional		$21.38	$56.23	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.20 / $48.98	Facility		$18.62	$30.20	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $128.82 / $165.96	Professional		$43.65	$128.82	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $37.15 / $177.83	Facility		$19.95	$37.15	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $323.59	Professional		$16.60	$26.30	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $41.69 / $70.79	Professional		$0.41	$41.69	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $7.94 / $60.26	Professional		$4.27	$7.94	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $79.43 / $186.21	Facility		$29.51	$79.43	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $154.88 / $338.84	Professional		$21.38	$154.88	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $14.13 / $26.30	Facility		$1.45	$14.13	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $33.11	Professional		$13.18	$19.95	$33.11