Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $854.54 / $862.92	Facility		$386.96	$854.54	$862.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $483.70	Professional		$386.96	$401.47	$483.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.45 / $918.63 / $952.81	Facility		$790.45	$918.63	$952.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $852.31	Professional		$403.08	$403.08	$852.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $571.84 / $1,188.76	Facility		$411.15	$571.84	$1,188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $512.72 / $847.40	Professional		$411.15	$512.72	$847.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $411.15 / $483.70	Facility		$381.21	$411.15	$483.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $640.91 / $640.91 / $640.91	Professional		$640.91	$640.91	$640.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $411.15 / $483.70	Facility		$381.21	$411.15	$483.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $448.71 / $1,838.06	Professional		$403.08	$448.71	$1,838.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $411.15 / $541.74	Facility		$381.21	$411.15	$541.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $640.91 / $640.91 / $640.91	Professional		$640.91	$640.91	$640.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $793.48 / $793.48 / $931.56	Professional		$793.48	$793.48	$931.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $2,136.35	Facility		$411.15	$411.15	$2,136.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $512.72 / $1,838.06	Professional		$411.15	$512.72	$1,838.06
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $483.70	Professional		$403.08	$427.26	$483.70