Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $131.72 / $183.75	Facility		$61.33	$131.72	$183.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $65.76 / $110.62	Professional		$57.87	$65.76	$110.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $197.16 / $197.16 / $197.16	Professional	25	$197.16	$197.16	$197.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $108.93 / $191.52	Professional		$68.47	$108.93	$191.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $219.03 / $291.11	Facility		$187.43	$219.03	$291.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $174.77 / $242.58	Professional		$78.66	$174.77	$242.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $71.23 / $141.60	Facility		$56.54	$71.23	$141.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $71.76 / $141.60	Facility		$55.66	$71.76	$141.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $148.55 / $454.95	Professional		$79.42	$148.55	$454.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $72.32 / $134.51	Professional		$41.03	$72.32	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $71.23 / $141.60	Facility		$56.71	$71.23	$141.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $168.70 / $230.42	Professional		$127.80	$168.70	$230.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $134.28 / $320.91	Facility		$94.80	$134.28	$320.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $362.30 / $454.95	Professional		$88.62	$362.30	$454.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $145.60 / $146.99	Professional		$98.09	$145.60	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $127.42 / $199.55	Professional		$76.67	$127.42	$199.55
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07