Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $717.52 / $743.15	Facility		$333.25	$717.52	$743.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $593.98	Professional		$333.25	$333.25	$593.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.73 / $791.11 / $820.55	Facility		$680.73	$791.11	$820.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $312.37 / $557.80	Professional		$162.28	$312.37	$557.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $893.50 / $1,277.20	Facility		$367.96	$893.50	$1,277.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $597.04 / $678.45	Professional		$375.00	$597.04	$678.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $340.73 / $367.96	Facility		$333.25	$340.73	$367.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $140.02 / $140.02 / $551.94	Professional		$140.02	$140.02	$551.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $340.73 / $367.96	Facility		$333.25	$340.73	$367.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $489.54	Professional		$357.54	$357.54	$489.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $65.00 / $85.00	Professional		$14.74	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $340.73 / $367.96	Facility		$333.25	$340.73	$367.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $140.02 / $140.02 / $551.94	Professional		$140.02	$140.02	$551.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.12 / $377.05 / $542.82	Professional		$258.12	$377.05	$542.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $7,359.25	Facility		$367.96	$367.96	$7,359.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
United Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $464.80	Professional		$357.54	$357.54	$464.80