Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $54.95	Professional		$26.92	$33.11	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $107.15	Facility		$66.07	$66.07	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $74.13	Professional		$54.95	$61.66	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $151.36 / $323.59	Facility		$38.02	$151.36	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $93.33 / $123.03	Professional		$28.18	$93.33	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $81.28	Facility		$32.36	$52.48	$81.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $77.62	Professional		$37.15	$63.10	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $302.00	Facility		$32.36	$64.57	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $72.44	Professional		$28.18	$33.88	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $58.88 / $70.79	Professional		$19.95	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $181.97	Professional		$66.07	$97.72	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $131.83 / $302.00	Facility		$38.02	$131.83	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $323.59	Professional		$28.18	$56.23	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $93.33	Facility		$26.30	$33.11	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $54.95	Professional		$22.39	$32.36	$54.95