Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $25.70	Professional		$16.98	$22.91	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $63.10 / $63.10	Facility		$34.67	$63.10	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $42.66	Professional		$27.54	$34.67	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $141.25	Facility		$22.91	$25.70	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $66.07	Professional		$22.91	$42.66	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.30 / $45.71	Facility		$10.96	$26.30	$45.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $39.81 / $162.18	Facility		$10.96	$39.81	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $36.31	Professional		$14.45	$19.05	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $50.12 / $89.13	Professional		$11.48	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.76 / $10.47	Professional		$4.57	$7.76	$10.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $67.61 / $162.18	Facility		$22.91	$67.61	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $27.54	Professional		$19.50	$22.91	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $14.13 / $24.55	Facility		$1.55	$14.13	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $39.81	Professional		$12.59	$18.62	$39.81