Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $20.89	Professional		$7.94	$10.96	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $27.54	Facility		$16.60	$16.60	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $17.38	Professional		$15.49	$15.49	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $81.28	Facility		$43.65	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $23.44 / $30.90	Professional		$6.61	$23.44	$30.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.49 / $23.44	Facility		$9.33	$13.49	$23.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $151.36 / $190.55	Professional		$16.22	$151.36	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.49 / $36.31	Facility		$9.33	$13.49	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.13 / $218.78	Professional		$6.92	$8.13	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $33.11 / $70.79	Professional		$9.33	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $45.71	Professional		$16.60	$25.12	$45.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $93.33	Facility		$33.11	$33.11	$93.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $24.55 / $223.87	Professional		$6.61	$24.55	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.13 / $13.18	Professional		$5.37	$8.13	$13.18