Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.80 / $332.80 / $332.80	Facility		$332.80	$332.80	$332.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.80 / $568.54 / $988.51	Professional		$332.80	$568.54	$988.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $358.46 / $977.21	Professional		$153.93	$358.46	$977.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.83 / $502.30 / $667.59	Facility		$429.83	$502.30	$667.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $558.21 / $634.33	Professional		$303.87	$558.21	$634.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.55 / $238.59 / $571.78	Facility		$139.55	$238.59	$571.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.55 / $238.59 / $1,240.47	Facility		$139.55	$238.59	$1,240.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $526.62 / $3,492.00	Professional		$199.49	$526.62	$3,492.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $110.45 / $248.09	Professional		$54.30	$110.45	$248.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.55 / $238.59 / $571.78	Facility		$139.55	$238.59	$571.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $464.50 / $984.86	Professional		$310.05	$464.50	$984.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $1,341.32 / $1,341.32	Facility		$727.00	$1,341.32	$1,341.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $682.56 / $3,492.00 / $3,492.00	Professional		$682.56	$3,492.00	$3,492.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,308.79 / $7,308.79 / $7,308.79	Facility		$7,308.79	$7,308.79	$7,308.79
United Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $415.60 / $945.09	Professional		$185.94	$415.60	$945.09