Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.88 / $112.06 / $395.99	Facility		$98.88	$112.06	$395.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $131.83 / $239.72	Professional		$98.88	$131.83	$239.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $208.26 / $373.53	Professional		$131.87	$208.26	$373.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.70 / $471.76 / $723.69	Facility		$403.70	$471.76	$723.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $379.37 / $431.10	Professional		$246.64	$379.37	$431.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $170.32 / $312.24	Facility		$136.50	$170.32	$312.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $170.32 / $312.24	Facility		$136.50	$170.32	$312.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $205.51 / $347.26	Professional		$135.08	$205.51	$347.26
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $313.33 / $313.33 / $313.33	Professional	25	$313.33	$313.33	$313.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $158.17 / $332.16	Professional		$98.13	$158.17	$332.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $170.32 / $312.24	Facility		$136.50	$170.32	$312.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $354.03 / $496.55	Professional		$198.15	$354.03	$496.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.12 / $291.48 / $694.84	Facility		$288.12	$291.48	$694.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $174.89 / $337.27	Professional		$174.89	$174.89	$337.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $447.28 / $447.28	Professional		$290.17	$447.28	$447.28
United Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $228.69 / $354.55	Professional		$135.08	$228.69	$354.55