Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $30.20	Professional		$15.14	$18.20	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $58.88	Facility		$36.31	$36.31	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $39.81	Professional		$30.20	$33.11	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $83.18 / $177.83	Facility		$23.44	$83.18	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $51.29 / $67.61	Professional		$17.38	$51.29	$67.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.84 / $44.67	Facility		$17.38	$28.84	$44.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $52.48	Professional		$32.36	$42.66	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $165.96	Facility		$17.78	$35.48	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $39.81	Professional		$15.49	$18.62	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $70.79	Professional		$20.89	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $100.00	Professional		$36.31	$53.70	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $70.79 / $165.96	Facility		$23.44	$70.79	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $177.83	Professional		$17.38	$34.67	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $51.29	Facility		$14.45	$18.20	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $29.51	Professional		$12.30	$17.38	$29.51