Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $33.11	Professional		$20.89	$28.84	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $75.86	Facility		$41.69	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $56.23	Professional		$36.31	$41.69	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $36.31 / $158.49	Facility		$28.18	$36.31	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $79.43	Professional		$28.18	$47.86	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $66.07	Facility		$25.12	$41.69	$66.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $53.70 / $204.17	Facility		$25.12	$53.70	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $46.77	Professional		$20.42	$26.30	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $50.12 / $89.13	Professional		$13.49	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.71 / $11.48	Professional		$5.50	$8.71	$11.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $81.28 / $204.17	Facility		$28.18	$81.28	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $32.36	Professional		$23.99	$28.18	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $18.20 / $29.51	Facility		$2.19	$18.20	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $50.12	Professional		$16.98	$26.30	$50.12