Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $109.65	Professional		$25.70	$32.36	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $95.50	Facility		$57.54	$57.54	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $64.57	Professional		$43.65	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $131.83 / $281.84	Facility		$33.11	$131.83	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $81.28 / $109.65	Professional		$23.99	$81.28	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.65 / $67.61	Facility		$28.18	$43.65	$67.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $75.86	Professional		$51.29	$61.66	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $56.23 / $263.03	Facility		$28.84	$56.23	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $64.57	Professional		$25.12	$30.20	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $70.79	Professional		$30.90	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $158.49	Professional		$57.54	$87.10	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $114.82 / $263.03	Facility		$33.11	$114.82	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.98 / $288.40	Professional		$23.99	$48.98	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $83.18	Facility		$23.44	$29.51	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $47.86	Professional		$19.95	$28.18	$47.86