Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $25.70	Professional		$10.00	$14.13	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $36.31	Facility		$21.88	$21.88	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $22.91	Professional		$20.42	$20.42	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $107.15	Facility		$57.54	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $30.90 / $41.69	Professional		$8.71	$30.90	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $30.90	Facility		$12.30	$17.38	$30.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $74.13 / $93.33	Professional		$19.50	$74.13	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $47.86	Facility		$12.30	$17.38	$47.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.72 / $208.93	Professional		$9.12	$10.72	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $70.79	Professional		$12.30	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $58.88	Professional		$21.88	$33.11	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $102.33	Facility		$43.65	$43.65	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $32.36 / $218.78	Professional		$8.71	$32.36	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.72 / $17.38	Professional		$7.08	$10.72	$17.38