Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $1,256.74 / $1,269.07	Facility		$569.09	$1,256.74	$1,269.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $590.42 / $711.36	Professional		$569.09	$590.42	$711.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.48 / $1,351.00 / $1,401.27	Facility		$1,162.48	$1,351.00	$1,401.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.12 / $635.09 / $1,608.12	Professional		$429.12	$635.09	$1,608.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $840.83 / $1,747.97	Facility		$628.37	$840.83	$1,747.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $771.19 / $884.35	Professional		$628.37	$771.19	$884.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $604.66 / $796.73	Facility		$569.09	$604.66	$796.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $291.80 / $291.80 / $942.56	Professional		$291.80	$291.80	$942.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $604.66 / $796.73	Facility		$569.09	$604.66	$796.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $659.91 / $3,280.92	Professional		$592.79	$659.91	$3,280.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,907.78	Professional		$50.00	$70.00	$1,907.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $604.66 / $901.02	Facility		$569.09	$604.66	$901.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $291.80 / $291.80 / $942.56	Professional		$291.80	$291.80	$942.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $682.56 / $997.04 / $1,367.40	Professional		$682.56	$997.04	$1,367.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $628.37 / $2,464.60	Facility		$471.24	$628.37	$2,464.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $2,164.55 / $3,280.92	Professional		$628.37	$2,164.55	$3,280.92
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $610.64 / $711.36	Professional		$592.79	$610.64	$711.36