Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $64.57	Professional		$38.02	$56.23	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $154.88 / $154.88	Facility		$85.11	$154.88	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $107.15	Professional		$72.44	$85.11	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $323.59	Facility		$46.77	$46.77	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $100.00 / $165.96	Professional		$46.77	$100.00	$165.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $58.88 / $104.71	Facility		$25.12	$58.88	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $91.20 / $380.19	Facility		$25.12	$91.20	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $85.11	Professional		$36.31	$44.67	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $50.12 / $64.57	Professional		$26.30	$50.12	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $25.12	Professional		$11.22	$18.62	$25.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $169.82 / $380.19	Facility		$46.77	$169.82	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $63.10	Professional		$46.77	$46.77	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $33.88 / $57.54	Facility		$4.07	$33.88	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $93.33	Professional		$29.51	$44.67	$93.33