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 $19.95 / $28.18 / $30.20	Professional		$19.95	$28.18	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $74.13	Facility		$40.74	$74.13	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $51.29	Professional		$34.67	$40.74	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $162.18	Facility		$25.70	$26.92	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $77.62	Professional		$25.70	$48.98	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.11 / $57.54	Facility		$13.80	$33.11	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $50.12 / $186.21	Facility		$13.80	$50.12	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $42.66	Professional		$18.20	$23.99	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $50.12 / $89.13	Professional		$14.45	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.71 / $11.48	Professional		$5.37	$8.71	$11.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $81.28 / $186.21	Facility		$25.70	$81.28	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $28.84	Professional		$21.88	$25.70	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $16.98 / $28.18	Facility		$2.19	$16.98	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $47.86	Professional		$14.79	$23.44	$47.86