Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $114.30 / $351.18	Facility		$78.08	$114.30	$351.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $93.31 / $161.82	Professional		$63.66	$93.31	$161.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $128.40 / $251.22	Professional		$86.76	$128.40	$251.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.45 / $421.21 / $646.15	Facility		$360.45	$421.21	$646.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $252.79 / $380.01	Professional		$124.73	$252.79	$380.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $106.44 / $163.63	Facility		$70.86	$106.44	$163.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $106.44 / $174.96	Facility		$69.70	$106.44	$174.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $178.12 / $830.18	Professional		$99.03	$178.12	$830.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $123.62 / $265.57	Professional		$77.91	$123.62	$265.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $106.44 / $163.63	Facility		$70.86	$106.44	$163.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $212.19 / $387.46	Professional		$116.13	$212.19	$387.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $170.92 / $170.92 / $407.21	Facility		$170.92	$170.92	$407.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $569.78 / $830.18	Professional		$154.16	$569.78	$830.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $185.36 / $278.62	Professional		$105.80	$185.36	$278.62
United Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $147.22 / $271.01	Professional		$99.03	$147.22	$271.01