Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $40.74	Professional		$20.89	$25.12	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $83.18	Facility		$50.12	$50.12	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $56.23	Professional		$34.67	$46.77	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $114.82 / $245.47	Facility		$27.54	$114.82	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $70.79 / $95.50	Professional		$19.95	$70.79	$95.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $61.66	Facility		$24.55	$40.74	$61.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $81.28	Professional		$44.67	$64.57	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $229.09	Facility		$24.55	$48.98	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $54.95	Professional		$21.88	$25.70	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $70.79	Professional		$52.48	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $138.04	Professional		$50.12	$75.86	$138.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $100.00 / $229.09	Facility		$27.54	$100.00	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $245.47	Professional		$19.95	$39.81	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $70.79	Facility		$20.42	$25.12	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $41.69	Professional		$16.98	$24.55	$41.69