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 $19.05 / $28.18 / $33.11	Professional		$19.05	$28.18	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $79.43 / $79.43	Facility		$43.65	$79.43	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $58.88	Professional		$36.31	$43.65	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $169.82	Facility		$26.92	$30.20	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $83.18	Professional		$26.92	$51.29	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $30.90 / $52.48	Facility		$12.59	$30.90	$52.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $45.71 / $194.98	Facility		$12.59	$45.71	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $41.69	Professional		$17.78	$22.39	$41.69
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 $5.75 / $9.33 / $12.59	Professional		$5.75	$9.33	$12.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $87.10 / $194.98	Facility		$26.92	$87.10	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $33.11	Professional		$22.91	$26.92	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $16.98 / $28.84	Facility		$2.04	$16.98	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $46.77	Professional		$14.45	$22.39	$46.77