Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $42.66	Professional		$20.89	$25.70	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $85.11	Facility		$51.29	$51.29	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $56.23	Professional		$42.66	$47.86	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $117.49 / $251.19	Facility		$33.88	$117.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $72.44 / $97.72	Professional		$24.55	$72.44	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $63.10	Facility		$25.12	$41.69	$63.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $61.66	Professional		$28.84	$48.98	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $50.12 / $234.42	Facility		$25.70	$50.12	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $57.54	Professional		$22.39	$26.92	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $58.88 / $70.79	Professional		$25.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $141.25	Professional		$51.29	$77.62	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $102.33 / $234.42	Facility		$33.88	$102.33	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $257.04	Professional		$24.55	$48.98	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $74.13	Facility		$20.89	$26.30	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $42.66	Professional		$17.78	$25.12	$42.66