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 / $30.90 / $51.29	Professional		$25.12	$30.90	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $100.00	Facility		$61.66	$61.66	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $67.61	Professional		$54.95	$56.23	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $141.25 / $302.00	Facility		$33.11	$141.25	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $87.10 / $114.82	Professional		$24.55	$87.10	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $48.98 / $75.86	Facility		$29.51	$48.98	$75.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $91.20	Professional		$54.95	$72.44	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $275.42	Facility		$30.20	$60.26	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $67.61	Professional		$26.30	$31.62	$67.61
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 $61.66 / $91.20 / $165.96	Professional		$61.66	$91.20	$165.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $120.23 / $275.42	Facility		$33.11	$120.23	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $302.00	Professional		$24.55	$48.98	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $87.10	Facility		$24.55	$30.90	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $50.12	Professional		$20.89	$29.51	$50.12