Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $42.66	Professional		$21.88	$23.99	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $77.62	Facility		$46.77	$46.77	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $52.48	Professional		$34.67	$43.65	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $107.15 / $229.09	Facility		$29.51	$107.15	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $66.07 / $89.13	Professional		$21.88	$66.07	$89.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.02 / $57.54	Facility		$22.91	$38.02	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $67.61	Professional		$41.69	$56.23	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $45.71 / $239.88	Facility		$23.44	$45.71	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $54.95	Professional		$20.42	$26.30	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $54.95 / $70.79	Professional		$19.95	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $141.25	Professional		$46.77	$70.79	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $93.33 / $281.84	Facility		$29.51	$93.33	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $467.74	Professional		$21.88	$43.65	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.30 / $72.44	Facility		$20.42	$26.30	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $38.90	Professional		$17.38	$22.91	$38.90