Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $38.02	Professional		$26.92	$36.31	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $95.50	Facility		$52.48	$95.50	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $69.18	Professional		$45.71	$52.48	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $223.87	Facility		$25.12	$35.48	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $67.61 / $107.15	Professional		$25.12	$67.61	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $45.71 / $66.07	Facility		$18.62	$45.71	$66.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $57.54 / $257.04	Facility		$18.62	$57.54	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $53.70	Professional		$23.99	$32.36	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $50.12 / $64.57	Professional		$19.05	$50.12	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.00 / $13.80	Professional		$6.92	$10.00	$13.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $109.65 / $257.04	Facility		$25.12	$109.65	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $42.66	Professional		$25.12	$25.12	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $21.38 / $38.90	Facility		$2.45	$21.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $57.54	Professional		$19.50	$31.62	$57.54