Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $460.48 / $460.48	Facility		$460.48	$460.48	$460.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $471.99 / $495.02	Professional		$460.48	$471.99	$495.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.60 / $1,093.11 / $1,133.80	Facility		$940.60	$1,093.11	$1,133.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.26 / $503.35 / $721.97	Professional		$489.26	$503.35	$721.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.43 / $686.66 / $1,427.46	Facility		$508.43	$686.66	$1,427.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $653.44	Professional		$508.43	$508.43	$653.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $489.26 / $546.26	Facility		$460.48	$489.26	$546.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $489.26 / $575.60	Facility		$460.48	$489.26	$575.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $633.16 / $748.28	Professional		$575.60	$633.16	$748.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,129.08	Professional		$50.00	$70.00	$1,129.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $489.26 / $518.62	Facility		$460.48	$489.26	$518.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $508.43 / $2,644.30	Facility		$489.26	$508.43	$2,644.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $527.62	Professional		$508.43	$508.43	$527.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $431.06 / $431.06 / $788.12	Professional		$431.06	$431.06	$788.12
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $728.22	Professional		$575.60	$575.60	$728.22