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 / $477.13 / $1,326.80	Professional		$192.93	$477.13	$1,326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $340.00 / $485.56	Professional		$270.00	$340.00	$485.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $237.30 / $409.86 / $818.34	Facility		$237.30	$409.86	$818.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $511.46 / $1,093.20	Facility		$275.00	$511.46	$1,093.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.18 / $884.28 / $1,552.02	Professional		$392.18	$884.28	$1,552.02
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 $272.02 / $406.58 / $818.34	Facility		$272.02	$406.58	$818.34
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 $741.40 / $1,093.20 / $1,093.20	Facility		$741.40	$1,093.20	$1,093.20
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 Professional Modifier Low / Median / High Price $376.18 / $764.94 / $1,552.02	Professional		$376.18	$764.94	$1,552.02