Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $44.67	Professional		$28.18	$38.02	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $107.15	Facility		$58.88	$107.15	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $74.13	Professional		$45.71	$58.88	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $234.42	Facility		$38.02	$38.02	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $114.82	Professional		$38.02	$70.79	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $70.79	Facility		$19.50	$45.71	$70.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $61.66 / $269.15	Facility		$19.50	$61.66	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $57.54	Professional		$25.70	$34.67	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $50.12 / $64.57	Professional		$20.42	$50.12	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.80 / $19.05	Professional		$7.76	$13.80	$19.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $117.49 / $275.42	Facility		$38.02	$117.49	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $44.67	Professional		$32.36	$38.02	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $25.12 / $43.65	Facility		$2.95	$25.12	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $60.26	Professional		$22.39	$33.11	$60.26