Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $399.87 / $651.91	Facility		$292.33	$399.87	$651.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $292.33 / $828.44	Professional		$292.33	$292.33	$828.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.36 / $440.88 / $457.28	Facility		$379.36	$440.88	$457.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $298.30 / $850.48	Professional		$270.58	$298.30	$850.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.42 / $497.77 / $711.53	Facility		$274.42	$497.77	$711.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $418.99 / $476.13	Professional		$215.18	$418.99	$476.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $205.06 / $568.14	Facility		$205.06	$205.06	$568.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $224.20 / $307.58	Professional		$224.20	$224.20	$307.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $219.06 / $568.14	Facility		$205.06	$219.06	$568.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $447.45	Professional		$298.30	$298.30	$447.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $85.00	Professional		$65.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $205.06 / $568.14	Facility		$205.06	$205.06	$568.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $224.20 / $307.58	Professional		$224.20	$224.20	$307.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $286.68 / $607.87 / $876.70	Professional		$286.68	$607.87	$876.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $1,581.00	Facility		$310.61	$310.61	$1,581.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $287.89 / $388.63	Professional		$287.89	$287.89	$388.63
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $447.45	Professional		$298.30	$298.30	$447.45