Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $60.24 / $192.26	Facility		$47.84	$60.24	$192.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $63.60 / $86.02	Professional		$39.07	$63.60	$86.02
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $70.06 / $76.20	Professional	25	$14.48	$70.06	$76.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $104.25 / $187.04	Professional		$66.95	$104.25	$187.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $229.56 / $352.15	Facility		$196.44	$229.56	$352.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $184.06 / $209.16	Professional		$119.75	$184.06	$209.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $82.69 / $151.96	Facility		$66.00	$82.69	$151.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $82.69 / $151.96	Facility		$66.00	$82.69	$151.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $104.32 / $177.64	Professional		$69.13	$104.32	$177.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $132.93	Professional		$39.56	$65.66	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $82.69 / $151.96	Facility		$66.00	$82.69	$151.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $171.23 / $240.16	Professional		$95.84	$171.23	$240.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $141.41 / $336.07	Facility		$139.88	$141.41	$336.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $176.40	Professional		$84.85	$84.85	$176.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.28 / $217.00 / $217.00	Professional		$147.28	$217.00	$217.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $120.13 / $186.50	Professional		$69.13	$120.13	$186.50