Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $52.48	Professional		$26.92	$32.36	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $97.72	Facility		$58.88	$58.88	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $66.07	Professional		$45.71	$54.95	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $134.90 / $288.40	Facility		$36.31	$134.90	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $83.18 / $112.20	Professional		$26.30	$83.18	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $72.44	Facility		$28.18	$47.86	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $147.91	Professional		$52.48	$117.49	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $309.03	Facility		$28.84	$57.54	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $69.18	Professional		$26.92	$38.02	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $58.88 / $70.79	Professional		$25.70	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $181.97	Professional		$58.88	$89.13	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $117.49 / $363.08	Facility		$36.31	$117.49	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $489.78	Professional		$26.30	$52.48	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $43.65 / $93.33	Facility		$33.88	$43.65	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $48.98	Professional		$23.99	$33.88	$48.98