Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $54.95	Professional		$25.12	$32.36	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $102.33	Facility		$63.10	$63.10	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $70.79	Professional		$53.70	$57.54	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $144.54 / $309.03	Facility		$33.88	$144.54	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $89.13 / $117.49	Professional		$25.12	$89.13	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $46.77 / $74.13	Facility		$17.78	$46.77	$74.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $93.33	Professional		$56.23	$74.13	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $288.40	Facility		$30.90	$61.66	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $69.18	Professional		$26.92	$32.36	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $58.88 / $70.79	Professional		$24.55	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $169.82	Professional		$63.10	$93.33	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $123.03 / $288.40	Facility		$33.88	$123.03	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $309.03	Professional		$25.12	$50.12	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $89.13	Facility		$25.12	$31.62	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $52.48	Professional		$21.38	$30.90	$52.48