Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $25.12	Professional		$12.02	$12.88	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $45.71	Facility		$27.54	$27.54	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $30.90	Professional		$20.42	$25.70	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $64.57 / $134.90	Facility		$16.98	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $39.81 / $52.48	Professional		$12.30	$39.81	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.39 / $33.88	Facility		$13.49	$22.39	$33.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $46.77	Professional		$24.55	$37.15	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.92 / $134.90	Facility		$13.80	$26.92	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $30.90	Professional		$12.59	$17.38	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $58.88 / $70.79	Professional		$7.41	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $79.43	Professional		$27.54	$41.69	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $54.95 / $147.91	Facility		$16.98	$54.95	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $24.55 / $165.96	Professional		$12.30	$24.55	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.05 / $40.74	Facility		$12.88	$19.05	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $22.91	Professional		$10.47	$13.80	$22.91