Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $61.66	Professional		$30.20	$41.69	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $102.33	Facility		$61.66	$61.66	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $66.07	Professional		$57.54	$57.54	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $309.03	Facility		$162.18	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $89.13 / $117.49	Professional		$25.12	$89.13	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $89.13	Facility		$35.48	$50.12	$89.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $74.13	Professional		$56.23	$61.66	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $51.29 / $138.04	Facility		$35.48	$51.29	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $724.44	Professional		$25.70	$30.20	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $169.82	Professional		$61.66	$93.33	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $316.23	Facility		$123.03	$123.03	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $93.33 / $758.58	Professional		$25.12	$93.33	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $48.98	Professional		$20.42	$30.20	$48.98