Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $47.86	Professional		$25.12	$28.84	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $87.10	Facility		$52.48	$52.48	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $58.88	Professional		$44.67	$48.98	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $123.03 / $263.03	Facility		$31.62	$123.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $75.86 / $100.00	Professional		$23.44	$75.86	$100.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.66 / $66.07	Facility		$26.30	$42.66	$66.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $93.33	Professional		$46.77	$74.13	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $257.04	Facility		$26.92	$52.48	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $58.88	Professional		$23.44	$29.51	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $70.79	Professional		$22.91	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $154.88	Professional		$52.48	$79.43	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $104.71 / $257.04	Facility		$31.62	$104.71	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $323.59	Professional		$23.44	$46.77	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $79.43	Facility		$15.85	$25.70	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $44.67	Professional		$19.05	$25.70	$44.67