Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $36.31	Professional		$18.20	$25.70	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $70.79	Facility		$42.66	$42.66	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $45.71	Professional		$39.81	$39.81	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $208.93	Facility		$112.20	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $60.26 / $81.28	Professional		$16.98	$60.26	$81.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.90 / $60.26	Facility		$23.44	$30.90	$60.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $109.65 / $138.04	Professional		$38.02	$109.65	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.67 / $85.11	Facility		$23.44	$34.67	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $269.15	Professional		$17.78	$20.89	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $70.79	Professional		$24.55	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $114.82	Professional		$42.66	$64.57	$114.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $199.53	Facility		$85.11	$85.11	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $63.10 / $281.84	Professional		$16.98	$63.10	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $33.88	Professional		$13.80	$20.89	$33.88