Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.93 / $187.93 / $187.93	Facility		$187.93	$187.93	$187.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $277.38 / $305.64	Professional		$187.93	$277.38	$305.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $341.89 / $1,401.91	Professional		$218.52	$341.89	$1,401.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.31 / $303.31 / $635.91	Professional		$303.31	$303.31	$635.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $174.47 / $277.38 / $629.91	Facility		$174.47	$277.38	$629.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.93 / $285.05 / $3,338.03	Facility		$187.93	$285.05	$3,338.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.59 / $472.45 / $1,369.10	Professional		$251.59	$472.45	$1,369.10
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 $174.47 / $277.38 / $355.43	Facility		$174.47	$277.38	$355.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $464.78 / $691.46 / $987.80	Professional		$464.78	$691.46	$987.80
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 $1,285.83 / $1,285.83 / $1,557.45	Professional		$1,285.83	$1,285.83	$1,557.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,015.69 / $1,015.69 / $1,034.48	Facility		$1,015.69	$1,015.69	$1,034.48
United Facility/Professional Professional Modifier Low / Median / High Price $251.59 / $466.12 / $1,021.39	Professional		$251.59	$466.12	$1,021.39