Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $52.48	Professional		$25.12	$43.65	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $125.89	Facility		$69.18	$125.89	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $85.11	Professional		$56.23	$69.18	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $46.77 / $275.42	Facility		$44.67	$46.77	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $131.83	Professional		$44.67	$83.18	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $51.29 / $79.43	Facility		$21.88	$51.29	$79.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $67.61 / $316.23	Facility		$21.88	$67.61	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $63.10	Professional		$28.18	$38.02	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $64.57	Professional		$25.12	$50.12	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $19.05	Professional		$9.12	$13.80	$19.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $134.90 / $316.23	Facility		$44.67	$134.90	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $52.48	Professional		$38.02	$44.67	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $25.70 / $45.71	Facility		$3.24	$25.70	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $69.18	Professional		$22.91	$37.15	$69.18