Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.82 / $303.97 / $606.74	Facility		$233.82	$303.97	$606.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $282.27 / $483.02	Professional		$272.08	$282.27	$483.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.38 / $335.14 / $347.61	Facility		$288.38	$335.14	$347.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.49 / $283.42 / $417.30	Professional		$212.49	$283.42	$417.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.03 / $388.23 / $554.94	Facility		$214.03	$388.23	$554.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $240.11 / $272.85	Professional		$163.58	$240.11	$272.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $155.88 / $272.08	Facility		$155.88	$155.88	$272.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $233.82 / $233.82 / $233.82	Professional		$233.82	$233.82	$233.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $157.68 / $272.08	Facility		$155.88	$157.68	$272.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $388.30	Professional		$283.42	$283.42	$388.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $155.88	Professional		$65.00	$85.00	$155.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $155.88 / $272.08	Facility		$155.88	$155.88	$272.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $233.82 / $233.82 / $233.82	Professional		$233.82	$233.82	$233.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.38 / $367.62 / $530.20	Professional		$173.38	$367.62	$530.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $921.80 / $921.80 / $921.80	Facility		$921.80	$921.80	$921.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.86 / $218.86 / $291.08	Professional		$218.86	$218.86	$291.08
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $388.30	Professional		$283.42	$283.42	$388.30