Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.18 / $13.18	Facility		$12.88	$13.18	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $549.54	Professional		$12.88	$12.88	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $31.62 / $54.95	Facility		$13.80	$31.62	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $19.50	Professional		$15.49	$17.38	$19.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $16.22	Facility		$13.18	$16.22	$16.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $16.22	Facility		$13.18	$16.22	$16.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.78	Professional		$13.49	$13.49	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $91.20	Facility		$13.80	$13.80	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $18.62	Professional		$13.49	$13.49	$18.62