Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.67 / $333.67 / $333.67	Professional		$333.67	$333.67	$333.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.40 / $444.41 / $460.94	Facility		$382.40	$444.41	$460.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $344.61	Professional		$198.90	$198.90	$344.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $506.61 / $724.17	Facility		$206.70	$506.61	$724.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $219.00 / $265.77	Professional		$206.70	$219.00	$265.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $206.70 / $206.70	Facility		$162.96	$206.70	$206.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $89.25 / $310.05	Professional		$89.25	$89.25	$310.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $206.70 / $206.70	Facility		$162.96	$206.70	$206.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $310.05	Professional		$234.00	$234.00	$310.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $424.96	Professional		$65.00	$85.00	$424.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $206.70 / $206.70	Facility		$162.96	$206.70	$206.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $89.25 / $310.05	Professional		$89.25	$89.25	$310.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $744.30 / $744.30 / $744.30	Facility		$744.30	$744.30	$744.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $219.55 / $219.55 / $401.42	Professional		$219.55	$219.55	$401.42
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $304.20	Professional		$234.00	$234.00	$304.20