Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $33.88	Professional		$15.85	$19.05	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $60.26	Facility		$36.31	$36.31	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $39.81	Professional		$28.18	$33.88	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $85.11 / $177.83	Facility		$22.91	$85.11	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $51.29 / $69.18	Professional		$16.98	$51.29	$69.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $44.67	Facility		$18.20	$29.51	$44.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $70.79	Professional		$32.36	$56.23	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $35.48 / $190.55	Facility		$18.20	$35.48	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $42.66	Professional		$16.60	$20.89	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $70.79	Professional		$38.02	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $112.20	Professional		$36.31	$54.95	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $72.44 / $223.87	Facility		$22.91	$72.44	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $302.00	Professional		$16.98	$33.88	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $58.88	Facility		$16.60	$20.89	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $30.90	Professional		$13.80	$17.78	$30.90