Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $61.66	Professional		$28.84	$33.11	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $107.15	Facility		$64.57	$64.57	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $72.44	Professional		$53.70	$60.26	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $147.91 / $316.23	Facility		$40.74	$147.91	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $91.20 / $123.03	Professional		$29.51	$91.20	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $52.48 / $79.43	Facility		$31.62	$52.48	$79.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $75.86	Professional		$36.31	$63.10	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $323.59	Facility		$32.36	$63.10	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $72.44	Professional		$28.84	$36.31	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $58.88 / $70.79	Professional		$18.20	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $194.98	Professional		$64.57	$97.72	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $128.82 / $338.84	Facility		$40.74	$128.82	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $398.11	Professional		$29.51	$58.88	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $102.33	Facility		$28.84	$36.31	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $53.70	Professional		$24.55	$31.62	$53.70