Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $39.81	Professional		$19.95	$22.91	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $79.43	Facility		$47.86	$47.86	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $53.70	Professional		$40.74	$44.67	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $109.65 / $234.42	Facility		$30.90	$109.65	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $69.18 / $91.20	Professional		$22.39	$69.18	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $60.26	Facility		$23.99	$38.90	$60.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $57.54	Professional		$42.66	$46.77	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $46.77 / $218.78	Facility		$26.92	$46.77	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $53.70	Professional		$21.38	$30.20	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $70.79	Professional		$31.62	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $131.83	Professional		$47.86	$72.44	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $95.50 / $218.78	Facility		$30.90	$95.50	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $239.88	Professional		$22.39	$44.67	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $69.18	Facility		$24.55	$31.62	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $39.81	Professional		$17.78	$23.44	$39.81