Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $114.82 / $245.47	Facility		$85.11	$114.82	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $295.12	Professional		$93.33	$125.89	$295.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	25	$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $363.08	Professional		$128.82	$194.98	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $446.68	Professional		$218.78	$338.84	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $269.15	Facility		$117.49	$147.91	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $269.15	Facility		$117.49	$147.91	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $331.13	Professional		$125.89	$199.53	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $446.68	Professional		$177.83	$323.59	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $794.33	Facility		$251.19	$251.19	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $794.33	Professional		$147.91	$331.13	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $501.19	Professional		$234.42	$389.05	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $123.03	Facility		$91.20	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $354.81	Professional		$123.03	$199.53	$354.81