Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.89 / $200.89 / $200.89	Facility		$200.89	$200.89	$200.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.89 / $266.36 / $324.00	Professional		$200.89	$266.36	$324.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.91 / $672.53 / $2,246.57	Professional		$316.91	$672.53	$2,246.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $432.41 / $1,165.25	Professional		$237.49	$432.41	$1,165.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.61 / $298.92 / $482.14	Facility		$190.61	$298.92	$482.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.89 / $312.06 / $1,356.71	Facility		$200.89	$312.06	$1,356.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $803.20 / $2,070.79	Professional		$359.21	$803.20	$2,070.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $200.89 / $298.92 / $422.27	Facility		$200.89	$298.92	$422.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $522.72 / $746.62 / $1,064.80	Professional		$522.72	$746.62	$1,064.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $763.45 / $1,465.35 / $1,465.35	Facility		$763.45	$1,465.35	$1,465.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,165.25 / $2,070.79 / $2,070.79	Professional		$1,165.25	$2,070.79	$2,070.79
United Facility/Professional Professional Modifier Low / Median / High Price $349.35 / $753.20 / $1,441.45	Professional		$349.35	$753.20	$1,441.45