Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $412.79	Facility		$200.00	$200.00	$412.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $231.62 / $412.79	Professional		$171.00	$231.62	$412.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $302.99 / $976.29	Professional		$114.94	$302.99	$976.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $402.75 / $416.88	Professional		$366.85	$402.75	$416.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $253.80 / $482.96	Facility		$205.20	$253.80	$482.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.62 / $268.77 / $990.70	Facility		$196.62	$268.77	$990.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $516.88 / $1,219.09	Professional		$232.00	$516.88	$1,219.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $747.89	Professional		$50.00	$58.40	$747.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $268.02 / $482.96	Facility		$205.20	$268.02	$482.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $526.79 / $751.30	Professional		$293.55	$526.79	$751.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $537.70 / $1,033.95 / $1,033.95	Facility		$537.70	$1,033.95	$1,033.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $967.86 / $1,033.75 / $1,219.09	Professional		$967.86	$1,033.75	$1,219.09
United Facility/Professional Professional Modifier Low / Median / High Price $220.93 / $439.58 / $906.08	Professional		$220.93	$439.58	$906.08