Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $22.91	Professional		$12.02	$14.13	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $46.77	Facility		$28.18	$28.18	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $31.62	Professional		$19.50	$26.30	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $64.57 / $138.04	Facility		$18.62	$64.57	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $39.81 / $53.70	Professional		$13.49	$39.81	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.91 / $34.67	Facility		$13.80	$22.91	$34.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $48.98	Professional		$25.12	$38.90	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $27.54 / $128.82	Facility		$13.80	$27.54	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $30.90	Professional		$12.30	$14.45	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $58.88 / $70.79	Professional		$12.30	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $77.62	Professional		$28.18	$42.66	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $56.23 / $128.82	Facility		$18.62	$56.23	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.92 / $138.04	Professional		$13.49	$26.92	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.13 / $39.81	Facility		$11.48	$14.13	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $23.44	Professional		$9.55	$13.80	$23.44