Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $61.66	Professional		$14.13	$19.05	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $43.65	Facility		$26.30	$26.30	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $27.54	Professional		$24.55	$24.55	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $128.82	Facility		$69.18	$81.28	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $37.15 / $50.12	Professional		$10.47	$37.15	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $37.15	Facility		$14.79	$21.38	$37.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $114.82 / $144.54	Professional		$25.70	$114.82	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $22.39 / $57.54	Facility		$14.79	$22.39	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $363.08	Professional		$10.96	$12.88	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $70.79	Professional		$14.79	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $72.44	Professional		$26.30	$39.81	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $158.49	Facility		$52.48	$52.48	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $38.90 / $380.19	Professional		$10.47	$38.90	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $20.89	Professional		$8.51	$12.88	$20.89