Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $85.11	Professional		$30.90	$37.15	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $123.03	Facility		$74.13	$74.13	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $81.28	Professional		$54.95	$69.18	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $169.82 / $363.08	Facility		$46.77	$169.82	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $104.71 / $141.25	Professional		$33.88	$104.71	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $60.26 / $91.20	Facility		$35.48	$60.26	$91.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $117.49	Professional		$66.07	$93.33	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $338.84	Facility		$36.31	$72.44	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $81.28	Professional		$32.36	$43.65	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $77.62	Professional		$36.31	$58.88	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $204.17	Professional		$74.13	$109.65	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $147.91 / $338.84	Facility		$46.77	$147.91	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $363.08	Professional		$33.88	$67.61	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $104.71	Facility		$37.15	$42.66	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $60.26	Professional		$26.92	$36.31	$60.26