Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $45.71	Professional		$28.84	$38.90	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $109.65 / $109.65	Facility		$60.26	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $85.11	Professional		$46.77	$60.26	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $41.69 / $239.88	Facility		$38.90	$41.69	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $117.49	Professional		$38.90	$74.13	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $47.86 / $72.44	Facility		$20.42	$47.86	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $63.10 / $275.42	Facility		$20.42	$63.10	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $58.88	Professional		$26.30	$35.48	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $50.12 / $64.57	Professional		$20.89	$50.12	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.80 / $19.05	Professional		$7.94	$13.80	$19.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $120.23 / $281.84	Facility		$38.90	$120.23	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $46.77	Professional		$33.11	$38.90	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $25.70 / $44.67	Facility		$3.09	$25.70	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $63.10	Professional		$22.91	$34.67	$63.10