Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $40.74	Professional		$23.44	$30.20	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $79.43	Facility		$47.86	$47.86	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $51.29	Professional		$44.67	$44.67	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $234.42	Facility		$125.89	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $69.18 / $91.20	Professional		$19.05	$69.18	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $69.18	Facility		$26.92	$38.90	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $57.54	Professional		$42.66	$46.77	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $107.15	Facility		$26.92	$39.81	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $616.60	Professional		$19.95	$23.44	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $70.79	Professional		$27.54	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $131.83	Professional		$47.86	$72.44	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $263.03	Facility		$95.50	$95.50	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $72.44 / $630.96	Professional		$19.05	$72.44	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $38.02	Professional		$15.85	$23.44	$38.02