Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $141.25 / $141.25	Facility		$19.05	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $38.90	Professional		$16.98	$20.42	$38.90
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 $29.51 / $36.31 / $43.65	Professional		$29.51	$36.31	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $91.20 / $190.55	Facility		$24.55	$91.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $56.23 / $74.13	Professional		$18.20	$56.23	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $47.86	Facility		$19.50	$31.62	$47.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $74.13	Professional		$37.15	$60.26	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $177.83	Facility		$19.95	$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 $24.55 / $54.95 / $70.79	Professional		$24.55	$54.95	$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 $24.55 / $77.62 / $177.83	Facility		$24.55	$77.62	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $194.98	Professional		$18.20	$36.31	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.20 / $56.23	Facility		$15.85	$18.20	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $32.36	Professional		$13.49	$19.05	$32.36