Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.90 / $738.90 / $738.90	Professional		$738.90	$738.90	$738.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.45 / $440.45 / $795.14	Professional		$440.45	$440.45	$795.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $1,132.06 / $1,618.21	Facility		$457.73	$1,132.06	$1,618.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $489.38 / $593.91	Professional		$457.73	$489.38	$593.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $415.97 / $518.17 / $518.17	Facility		$415.97	$518.17	$518.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $321.20 / $321.20	Professional		$321.20	$321.20	$321.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.97 / $518.17 / $518.17	Facility		$415.97	$518.17	$518.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $673.63	Professional		$518.17	$518.17	$673.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $415.97 / $518.17 / $518.17	Facility		$415.97	$518.17	$518.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $321.20 / $321.20	Professional		$321.20	$321.20	$321.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $1,313.95	Facility		$457.73	$457.73	$1,313.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $673.63	Professional		$518.17	$518.17	$673.63