Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $46.77	Professional		$23.99	$28.18	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $95.50	Facility		$57.54	$57.54	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $63.10	Professional		$40.74	$53.70	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $131.83 / $281.84	Facility		$34.67	$131.83	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $81.28 / $109.65	Professional		$25.12	$81.28	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.77 / $70.79	Facility		$27.54	$46.77	$70.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $97.72	Professional		$51.29	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $269.15	Facility		$28.18	$56.23	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $64.57	Professional		$25.12	$33.88	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $58.88 / $70.79	Professional		$17.38	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $158.49	Professional		$57.54	$87.10	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $316.23	Facility		$34.67	$114.82	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $51.29 / $407.38	Professional		$25.12	$51.29	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $81.28	Facility		$29.51	$38.02	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $47.86	Professional		$20.89	$28.18	$47.86