Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $97.31 / $343.53	Facility		$85.86	$97.31	$343.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $124.87 / $382.03	Professional		$89.02	$124.87	$382.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.28 / $128.72 / $147.68	Professional	25	$26.28	$128.72	$147.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $188.25 / $338.34	Professional		$126.70	$188.25	$338.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $408.58 / $626.77	Facility		$349.63	$408.58	$626.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $329.29 / $374.19	Professional		$213.68	$329.29	$374.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $147.76 / $270.58	Facility		$118.69	$147.76	$270.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $147.76 / $270.58	Facility		$118.69	$147.76	$270.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $197.28 / $334.55	Professional		$126.43	$197.28	$334.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $127.60 / $268.78	Professional		$79.75	$127.60	$268.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $147.76 / $270.58	Facility		$118.69	$147.76	$270.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $306.20 / $429.47	Professional		$171.38	$306.20	$429.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $253.00 / $601.01	Facility		$249.95	$253.00	$601.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $151.81 / $342.88	Professional		$151.81	$151.81	$342.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $388.25 / $388.25	Professional		$278.54	$388.25	$388.25
United Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $183.27 / $341.58	Professional		$126.43	$183.27	$341.58