Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $29.06 / $103.23	Facility		$25.64	$29.06	$103.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $35.96 / $51.80	Professional		$26.49	$35.96	$51.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.82 / $7.82 / $45.14	Professional	25	$7.82	$7.82	$45.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $56.22 / $111.94	Professional		$41.24	$56.22	$111.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $124.26 / $190.61	Facility		$106.33	$124.26	$190.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $99.41 / $112.96	Professional		$64.27	$99.41	$112.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $44.40 / $86.13	Facility		$35.32	$44.40	$86.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $44.40 / $86.13	Facility		$35.32	$44.40	$86.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $67.47 / $113.13	Professional		$45.00	$67.47	$113.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $57.19 / $102.95	Professional		$27.49	$57.19	$102.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $44.40 / $86.13	Facility		$35.32	$44.40	$86.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $91.78 / $128.72	Professional		$51.37	$91.78	$128.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $76.38 / $180.13	Facility		$75.11	$76.38	$180.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $45.82 / $144.43	Professional		$45.82	$45.82	$144.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $117.19 / $117.19	Professional		$95.26	$117.19	$117.19
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $67.47 / $115.51	Professional		$44.75	$67.47	$115.51