Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $32.36	Professional		$15.85	$19.95	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $64.57	Facility		$38.90	$38.90	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $43.65	Professional		$32.36	$36.31	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $89.13 / $190.55	Facility		$21.38	$89.13	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $54.95 / $74.13	Professional		$15.49	$54.95	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $47.86	Facility		$19.05	$31.62	$47.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $46.77	Professional		$21.88	$37.15	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.02 / $177.83	Facility		$19.50	$38.02	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $43.65	Professional		$16.98	$20.42	$43.65
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 $38.90 / $58.88 / $107.15	Professional		$38.90	$58.88	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $77.62 / $177.83	Facility		$21.38	$77.62	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $194.98	Professional		$15.49	$30.90	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.95 / $56.23	Facility		$15.85	$19.95	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $32.36	Professional		$13.49	$19.05	$32.36