Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $10.96	Professional		$6.03	$8.91	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.38 / $51.29	Professional		$11.22	$21.38	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $34.67 / $47.86	Facility		$29.51	$34.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $23.44	Professional		$9.12	$15.49	$23.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $15.85	Facility		$8.71	$10.23	$15.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $40.74 / $47.86	Professional		$12.30	$40.74	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.96 / $89.13	Facility		$8.91	$10.96	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.76 / $12.88	Professional		$4.79	$6.76	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.88 / $34.67	Professional		$12.30	$21.88	$34.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $89.13	Facility		$20.89	$20.89	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.98 / $251.19	Professional		$9.12	$16.98	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.76 / $11.75	Professional		$4.37	$6.76	$11.75