Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $151.82 / $200.00	Facility		$151.82	$151.82	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $239.35 / $289.47	Professional		$151.82	$239.35	$289.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $659.19 / $1,296.00	Professional		$248.40	$659.19	$1,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $287.45	Facility		$287.45	$287.45	$287.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,202.06 / $1,202.06	Professional		$1,202.06	$1,202.06	$1,202.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $235.95 / $508.30	Facility		$151.82	$235.95	$508.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $283.70 / $5,169.00	Facility		$177.63	$283.70	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $543.97 / $1,910.32	Professional		$263.81	$543.97	$1,910.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $234.63 / $508.30	Facility		$151.82	$234.63	$508.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.38 / $593.66 / $848.10	Professional		$331.38	$593.66	$848.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $3,961.55 / $3,961.55	Facility		$287.45	$3,961.55	$3,961.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,094.45 / $1,910.32 / $1,910.32	Professional		$1,094.45	$1,910.32	$1,910.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $514.42 / $1,120.85	Professional		$263.81	$514.42	$1,120.85