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 $19.95 / $33.11 / $85.11	Professional		$19.95	$33.11	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $79.43	Facility		$48.98	$48.98	$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 $128.82 / $147.91 / $239.88	Facility		$128.82	$147.91	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $69.18 / $91.20	Professional		$19.50	$69.18	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $35.48 / $69.18	Facility		$26.92	$35.48	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $120.23 / $151.36	Professional		$43.65	$120.23	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $95.50	Facility		$26.92	$38.90	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $316.23	Professional		$19.95	$23.44	$316.23
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 $48.98 / $72.44 / $131.83	Professional		$48.98	$72.44	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $223.87	Facility		$95.50	$95.50	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $72.44 / $331.13	Professional		$19.50	$72.44	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $38.02	Professional		$15.85	$23.44	$38.02