Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $66.07	Professional		$34.67	$39.81	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $123.03	Facility		$75.86	$75.86	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $83.18	Professional		$56.23	$70.79	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $173.78 / $371.54	Facility		$45.71	$173.78	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $107.15 / $141.25	Professional		$33.11	$107.15	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $60.26 / $93.33	Facility		$36.31	$60.26	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $144.54	Professional		$67.61	$114.82	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $74.13 / $389.05	Facility		$37.15	$74.13	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $89.13	Professional		$34.67	$48.98	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $77.62	Professional		$35.48	$58.88	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $229.09	Professional		$75.86	$114.82	$229.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $151.36 / $467.74	Facility		$45.71	$151.36	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $67.61 / $588.84	Professional		$33.11	$67.61	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $120.23	Facility		$43.65	$54.95	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $63.10	Professional		$30.20	$42.66	$63.10