Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.14 / $682.14 / $1,521.17	Facility		$682.14	$682.14	$1,521.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $682.14 / $852.67	Professional		$682.14	$682.14	$852.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.71 / $256.50 / $266.04	Facility		$220.71	$256.50	$266.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $724.77	Professional		$710.56	$710.56	$724.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.55 / $297.37 / $724.77	Facility		$162.55	$297.37	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $149.28 / $724.77	Professional		$123.75	$149.28	$724.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $682.14 / $852.67	Facility		$96.80	$682.14	$852.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Professional		$81.50	$81.50	$81.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $682.14 / $852.67	Facility		$96.80	$682.14	$852.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $923.73	Professional		$710.56	$710.56	$923.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $1,443.83	Professional		$55.00	$65.00	$1,443.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $682.14 / $852.67	Facility		$96.80	$682.14	$852.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Professional		$81.50	$81.50	$81.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $2,382.75	Facility		$724.77	$724.77	$2,382.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.44 / $227.44 / $415.85	Professional		$227.44	$227.44	$415.85
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $923.73	Professional		$710.56	$710.56	$923.73