Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.27 / $109.27 / $109.27	Facility		$109.27	$109.27	$109.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $161.27 / $177.70	Professional		$109.27	$161.27	$177.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.85 / $305.63 / $1,087.58	Professional		$185.85	$305.63	$1,087.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.14 / $271.14 / $579.22	Professional		$271.14	$271.14	$579.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $193.73 / $366.23	Facility		$101.39	$193.73	$366.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.27 / $206.64 / $3,338.03	Facility		$109.27	$206.64	$3,338.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $422.41 / $1,224.08	Professional		$224.03	$422.41	$1,224.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $193.73 / $254.86	Facility		$101.39	$193.73	$254.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.88 / $415.49 / $574.20	Professional		$281.88	$415.49	$574.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,042.45 / $4,042.45 / $4,042.45	Facility		$4,042.45	$4,042.45	$4,042.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $746.15 / $746.15 / $1,308.32	Professional		$746.15	$746.15	$1,308.32
United Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $401.19 / $1,169.59	Professional		$208.12	$401.19	$1,169.59