Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.85 / $606.85 / $606.85	Facility		$606.85	$606.85	$606.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.20 / $739.98 / $936.18	Professional		$576.20	$739.98	$936.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $877.97 / $1,574.45 / $3,195.03	Professional		$877.97	$1,574.45	$3,195.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.72 / $1,227.53 / $1,650.52	Professional		$1,008.72	$1,227.53	$1,650.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $606.85 / $755.38	Facility		$92.39	$606.85	$755.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $576.20 / $943.11	Facility		$66.95	$576.20	$943.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $595.04 / $1,208.02 / $2,932.07	Professional		$595.04	$1,208.02	$2,932.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $606.85 / $755.38	Facility		$92.39	$606.85	$755.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.99 / $967.86 / $1,881.01	Professional		$453.99	$967.86	$1,881.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $816.25 / $850.09 / $3,256.04	Facility		$816.25	$850.09	$3,256.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,204.81 / $3,204.81 / $5,878.81	Professional		$3,204.81	$3,204.81	$5,878.81
United Facility/Professional Professional Modifier Low / Median / High Price $396.19 / $1,154.16 / $2,334.44	Professional		$396.19	$1,154.16	$2,334.44