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 $10.96 / $15.49 / $20.89	Professional		$10.96	$15.49	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $41.69	Facility		$25.70	$25.70	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $26.92	Professional		$23.44	$23.44	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $123.03	Facility		$66.07	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $36.31 / $47.86	Professional		$10.23	$36.31	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.50 / $36.31	Facility		$14.13	$19.50	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $95.50 / $120.23	Professional		$22.91	$95.50	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $51.29	Facility		$14.13	$20.42	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $199.53	Professional		$10.47	$12.59	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.11 / $70.79	Professional		$14.45	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $69.18	Professional		$25.70	$38.02	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $117.49	Facility		$51.29	$51.29	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $38.02 / $204.17	Professional		$10.23	$38.02	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $19.95	Professional		$8.32	$12.59	$19.95