Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.37 / $101.37 / $200.00	Facility		$101.37	$101.37	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $71.20 / $101.37	Professional		$32.63	$71.20	$101.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $147.88 / $427.78	Professional		$59.80	$147.88	$427.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $608.80	Facility		$391.99	$458.07	$608.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $241.30 / $275.95	Professional		$135.76	$241.30	$275.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $118.53 / $241.97	Facility		$67.84	$118.53	$241.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.22 / $118.53 / $398.92	Facility		$65.22	$118.53	$398.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $620.54 / $620.54 / $620.54	Professional		$620.54	$620.54	$620.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $2,750.00	Professional		$58.40	$70.00	$2,750.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $118.53 / $226.85	Facility		$67.84	$118.53	$226.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $231.39 / $330.00	Professional		$121.84	$231.39	$330.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $343.68 / $505.65 / $505.65	Facility		$343.68	$505.65	$505.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $433.62 / $620.54	Professional		$110.19	$433.62	$620.54