Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $579.15	Facility		$200.00	$200.00	$579.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $115.72 / $212.55	Professional		$81.88	$115.72	$212.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $250.07 / $703.69	Professional		$94.96	$250.07	$703.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.57 / $537.04 / $713.78	Facility		$459.57	$537.04	$713.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $398.17 / $452.46	Professional		$156.72	$398.17	$452.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $157.08 / $212.55	Facility		$100.12	$157.08	$212.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.07 / $187.08 / $1,459.20	Facility		$106.07	$187.08	$1,459.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.69 / $661.49 / $661.49	Professional		$232.69	$661.49	$661.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $2,750.00	Professional		$55.00	$70.00	$2,750.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $171.00 / $275.00	Facility		$100.12	$171.00	$275.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $257.94 / $359.70	Professional		$177.04	$257.94	$359.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $2,489.36 / $2,489.36	Facility		$263.39	$2,489.36	$2,489.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $519.95 / $661.49	Professional		$163.31	$519.95	$661.49