Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $61.66	Professional		$32.36	$38.90	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $114.82	Facility		$69.18	$69.18	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $77.62	Professional		$58.88	$64.57	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $162.18 / $338.84	Facility		$42.66	$162.18	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $100.00 / $131.83	Professional		$30.90	$100.00	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $87.10	Facility		$34.67	$56.23	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $134.90	Professional		$61.66	$107.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $363.08	Facility		$35.48	$67.61	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $81.28	Professional		$30.90	$39.81	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $72.44	Professional		$28.18	$58.88	$72.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $213.80	Professional		$69.18	$104.71	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $138.04 / $436.52	Facility		$42.66	$138.04	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.10 / $660.69	Professional		$30.90	$63.10	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $112.20	Facility		$31.62	$39.81	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $58.88	Professional		$26.92	$33.88	$58.88