Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.71 / $133.41 / $469.25	Facility		$117.71	$133.41	$469.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $161.69 / $252.95	Professional		$117.71	$161.69	$252.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $240.88 / $240.88 / $240.88	Professional	25	$240.88	$240.88	$240.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $250.84 / $457.42	Professional		$162.66	$250.84	$457.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.59 / $558.11 / $856.15	Facility		$477.59	$558.11	$856.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.68 / $450.01 / $511.38	Professional		$291.68	$450.01	$511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $201.83 / $369.18	Facility		$162.69	$201.83	$369.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $201.83 / $369.18	Facility		$162.69	$201.83	$369.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $252.70 / $430.53	Professional		$161.91	$252.70	$430.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $190.52 / $400.09	Professional		$118.34	$190.52	$400.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $201.83 / $369.18	Facility		$162.69	$201.83	$369.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $219.41 / $418.04 / $586.34	Professional		$219.41	$418.04	$586.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $341.43 / $345.76 / $820.50	Facility		$341.43	$345.76	$820.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.45 / $207.45 / $417.20	Professional		$207.45	$207.45	$417.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.76 / $530.59 / $530.59	Professional		$356.76	$530.59	$530.59
United Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $291.14 / $439.58	Professional		$161.91	$291.14	$439.58