Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $385.86	Facility		$200.00	$200.00	$385.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $211.49 / $385.86	Professional		$192.55	$211.49	$385.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $435.36 / $1,326.80	Professional		$192.93	$435.36	$1,326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $290.00 / $340.00	Professional		$270.00	$290.00	$340.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $249.46 / $451.46	Facility		$192.55	$249.46	$451.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $275.00 / $926.06	Facility		$192.55	$275.00	$926.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.05 / $428.43 / $1,293.17	Professional		$190.05	$428.43	$1,293.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $249.46 / $451.46	Facility		$192.55	$249.46	$451.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $462.78 / $660.00	Professional		$324.00	$462.78	$660.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $476.95 / $2,489.36 / $2,489.36	Facility		$476.95	$2,489.36	$2,489.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $858.51 / $1,293.17 / $1,293.17	Professional		$858.51	$1,293.17	$1,293.17
United Facility/Professional Facility Modifier Low / Median / High Price $138.50 / $141.06 / $298.18	Facility		$138.50	$141.06	$298.18
United Facility/Professional Professional Modifier Low / Median / High Price $182.38 / $410.36 / $751.95	Professional		$182.38	$410.36	$751.95