Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $290.70 / $290.70	Facility		$290.70	$290.70	$290.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.86 / $280.63 / $356.78	Professional		$226.86	$280.63	$356.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $416.80 / $527.96	Professional		$52.80	$416.80	$527.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,180.47 / $1,341.44 / $2,116.14	Facility		$1,180.47	$1,341.44	$2,116.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $496.16 / $614.05	Professional		$354.68	$496.16	$614.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $389.10 / $523.26	Facility		$182.43	$389.10	$523.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $317.99 / $317.99 / $317.99	Professional		$317.99	$317.99	$317.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $797.51 / $2,283.28	Facility		$290.70	$797.51	$2,283.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.60 / $324.20 / $552.83	Professional		$239.60	$324.20	$552.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $152.97	Professional		$50.00	$55.00	$152.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $389.10 / $523.26	Facility		$182.43	$389.10	$523.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $317.99 / $317.99 / $317.99	Professional		$317.99	$317.99	$317.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $101.76 / $132.12	Professional		$69.02	$101.76	$132.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $797.51 / $821.88 / $2,283.28	Facility		$797.51	$821.88	$2,283.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $354.68	Professional		$354.68	$354.68	$354.68
United Facility/Professional Professional Modifier Low / Median / High Price $235.19 / $279.33 / $510.98	Professional		$235.19	$279.33	$510.98