Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.54 / $453.54 / $453.54	Facility		$453.54	$453.54	$453.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $453.54 / $699.01	Professional		$36.36	$453.54	$699.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $212.97 / $864.00	Professional		$50.77	$212.97	$864.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $132.19 / $150.21	Professional		$132.19	$132.19	$150.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $289.31 / $544.25	Facility		$86.78	$289.31	$544.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $385.51 / $704.94	Facility		$86.78	$385.51	$704.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $104.30 / $519.85	Professional		$74.59	$104.30	$519.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $268.44	Professional		$50.00	$55.00	$268.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $333.81 / $544.25	Facility		$86.78	$333.81	$544.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $469.77 / $979.50 / $1,412.83	Professional		$469.77	$979.50	$1,412.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,705.81 / $2,705.81 / $3,407.99	Professional		$2,705.81	$2,705.81	$3,407.99
United Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $115.63 / $643.12	Professional		$74.59	$115.63	$643.12