Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $52.48	Professional		$25.70	$32.36	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $104.71	Facility		$64.57	$64.57	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $72.44	Professional		$44.67	$60.26	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $147.91 / $316.23	Facility		$34.67	$147.91	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $91.20 / $120.23	Professional		$25.70	$91.20	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $79.43	Facility		$31.62	$51.29	$79.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $134.90	Professional		$57.54	$107.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $295.12	Facility		$31.62	$63.10	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $70.79	Professional		$27.54	$33.11	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $177.83	Professional		$64.57	$95.50	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $295.12	Facility		$34.67	$128.82	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.29 / $316.23	Professional		$25.70	$51.29	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $32.36 / $91.20	Facility		$25.70	$32.36	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $53.70	Professional		$21.88	$31.62	$53.70