Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $47.86	Professional		$25.70	$30.20	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $93.33	Facility		$56.23	$56.23	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $63.10	Professional		$46.77	$52.48	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $275.42	Facility		$34.67	$128.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $79.43 / $107.15	Professional		$25.12	$79.43	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $45.71 / $69.18	Facility		$27.54	$45.71	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $125.89	Professional		$50.12	$100.00	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.95 / $281.84	Facility		$28.18	$54.95	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $63.10	Professional		$25.70	$37.15	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $70.79	Professional		$30.90	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $173.78	Professional		$56.23	$85.11	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $112.20 / $281.84	Facility		$34.67	$112.20	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $363.08	Professional		$25.12	$50.12	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $41.69 / $91.20	Facility		$27.54	$41.69	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $46.77	Professional		$21.88	$28.18	$46.77