Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $832.49 / $943.60	Facility		$423.14	$832.49	$943.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $754.20	Professional		$423.14	$423.14	$754.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.80 / $917.88 / $952.03	Facility		$789.80	$917.88	$952.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $449.58 / $863.54	Professional		$251.23	$449.58	$863.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $1,133.84 / $1,620.77	Facility		$426.92	$1,133.84	$1,620.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.24 / $467.31 / $594.84	Professional		$411.24	$467.31	$594.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.09 / $423.14 / $426.92	Facility		$245.09	$423.14	$426.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $174.76 / $640.38	Professional		$174.76	$174.76	$640.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.09 / $423.14 / $426.92	Facility		$245.09	$423.14	$426.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $588.79 / $706.56	Professional		$528.91	$588.79	$706.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $1,382.52	Professional		$65.00	$85.00	$1,382.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $245.09 / $423.14 / $426.92	Facility		$245.09	$423.14	$426.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $174.76 / $640.38	Professional		$174.76	$174.76	$640.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.60 / $583.71 / $825.67	Professional		$399.60	$583.71	$825.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $1,309.81	Facility		$426.92	$426.92	$1,309.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $496.42 / $599.40 / $628.12	Professional		$496.42	$599.40	$628.12
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $588.79 / $778.07	Professional		$528.91	$588.79	$778.07