Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $72.44	Professional		$34.67	$40.74	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Facility		$77.62	$77.62	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $87.10	Professional		$66.07	$72.44	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $177.83 / $380.19	Facility		$48.98	$177.83	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $109.65 / $144.54	Professional		$35.48	$109.65	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $95.50	Facility		$38.02	$63.10	$95.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $131.83	Professional		$69.18	$104.71	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $398.11	Facility		$38.90	$75.86	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $91.20	Professional		$34.67	$44.67	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $81.28	Professional		$28.84	$58.88	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $239.88	Professional		$77.62	$117.49	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $154.88 / $478.63	Facility		$48.98	$154.88	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $676.08	Professional		$35.48	$70.79	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $123.03	Facility		$34.67	$44.67	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $64.57	Professional		$29.51	$38.02	$64.57