Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $138.04	Facility		$46.77	$63.10	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $109.65	Professional		$51.29	$67.61	$109.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $70.79 / $75.86	Professional	25	$14.45	$70.79	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $194.98	Professional		$69.18	$104.71	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $363.08	Facility		$194.98	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $251.19	Professional		$123.03	$186.21	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $151.36	Facility		$66.07	$83.18	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $151.36	Facility		$66.07	$83.18	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $177.83	Professional		$70.79	$104.71	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $251.19	Professional		$107.15	$181.97	$251.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $426.58	Facility		$141.25	$141.25	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $426.58	Professional		$83.18	$173.78	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $269.15	Professional		$131.83	$218.78	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $66.07 / $66.07	Facility		$48.98	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $186.21	Professional		$69.18	$109.65	$186.21