Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $85.54 / $199.44	Facility		$68.90	$85.54	$199.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $91.87 / $232.32	Professional		$68.90	$91.87	$232.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $101.95 / $101.95	Professional	25	$20.57	$101.95	$101.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $144.88 / $252.00	Professional		$88.97	$144.88	$252.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.85 / $331.70 / $508.84	Facility		$283.85	$331.70	$508.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.58 / $266.29 / $302.60	Professional		$173.58	$266.29	$302.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $119.66 / $219.64	Facility		$95.02	$119.66	$219.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $119.66 / $219.64	Facility		$95.02	$119.66	$219.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $151.47 / $246.89	Professional		$96.54	$151.47	$246.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.64 / $200.86	Professional		$59.78	$95.64	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $119.66 / $219.64	Facility		$95.02	$119.66	$219.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $248.36 / $348.34	Professional		$139.01	$248.36	$348.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $204.60 / $487.47	Facility		$202.43	$204.60	$487.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $122.76 / $228.22	Professional		$122.76	$122.76	$228.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $313.97 / $313.97	Professional		$195.15	$313.97	$313.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $138.22 / $240.10	Professional		$99.40	$138.22	$240.10