Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $21.88	Professional		$10.96	$12.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $41.69	Facility		$25.12	$25.12	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $28.18	Professional		$19.95	$23.44	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $58.88 / $123.03	Facility		$16.60	$58.88	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $36.31 / $47.86	Professional		$12.02	$36.31	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $31.62	Facility		$12.30	$20.42	$31.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $48.98	Professional		$22.39	$38.90	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.12 / $131.83	Facility		$12.59	$25.12	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $29.51	Professional		$11.48	$16.60	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $58.88 / $70.79	Professional		$10.72	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $77.62	Professional		$25.12	$38.02	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $50.12 / $154.88	Facility		$16.60	$50.12	$154.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.55 / $158.49	Professional		$12.02	$24.55	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $40.74	Facility		$12.88	$18.62	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $20.89	Professional		$10.00	$12.59	$20.89