Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $60.43 / $188.77	Facility		$43.05	$60.43	$188.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $49.76 / $74.80	Professional		$34.84	$49.76	$74.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.05 / $78.05 / $78.05	Professional	25	$78.05	$78.05	$78.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $69.28 / $133.26	Professional		$44.61	$69.28	$133.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.74 / $226.40 / $347.31	Facility		$193.74	$226.40	$347.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $140.33 / $204.40	Professional		$67.19	$140.33	$204.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $55.97 / $86.60	Facility		$38.65	$55.97	$86.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $55.97 / $87.50	Facility		$37.29	$55.97	$87.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $88.69 / $435.65	Professional		$50.03	$88.69	$435.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $62.75 / $132.78	Professional		$39.56	$62.75	$132.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $55.97 / $86.60	Facility		$38.65	$55.97	$86.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $115.16 / $207.54	Professional		$63.03	$115.16	$207.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $94.88 / $221.04	Facility		$94.88	$94.88	$221.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $310.95 / $435.65	Professional		$82.92	$310.95	$435.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $102.88 / $149.86	Professional		$52.52	$102.88	$149.86
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $73.95 / $118.69	Professional		$48.00	$73.95	$118.69