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 $28.18 / $33.88 / $52.48	Professional		$28.18	$33.88	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $104.71	Facility		$63.10	$63.10	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $69.18	Professional		$46.77	$58.88	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $144.54 / $309.03	Facility		$38.90	$144.54	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $89.13 / $120.23	Professional		$28.18	$89.13	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $77.62	Facility		$31.62	$51.29	$77.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $112.20	Professional		$56.23	$89.13	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $61.66 / $309.03	Facility		$31.62	$61.66	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $72.44	Professional		$28.18	$34.67	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $70.79	Professional		$26.92	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $181.97	Professional		$63.10	$95.50	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $125.89 / $363.08	Facility		$38.90	$125.89	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $389.05	Professional		$28.18	$56.23	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $95.50	Facility		$26.92	$33.88	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $53.70	Professional		$22.91	$30.90	$53.70