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 $10.00 / $12.88 / $21.88	Professional		$10.00	$12.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $42.66	Facility		$25.70	$25.70	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $28.84	Professional		$21.38	$23.99	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $58.88 / $125.89	Facility		$16.22	$58.88	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $36.31 / $48.98	Professional		$12.02	$36.31	$48.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.89 / $31.62	Facility		$12.59	$20.89	$31.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $44.67	Professional		$22.91	$35.48	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.12 / $125.89	Facility		$12.59	$25.12	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $28.84	Professional		$11.75	$16.22	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $58.88 / $70.79	Professional		$13.80	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $74.13	Professional		$25.70	$38.90	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $51.29 / $147.91	Facility		$16.22	$51.29	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $147.91	Professional		$12.02	$23.99	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $17.38 / $38.02	Facility		$12.88	$17.38	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $21.38	Professional		$9.77	$13.18	$21.38