Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $944.45	Facility		$487.58	$487.58	$944.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $487.58 / $1,500.00	Professional		$310.80	$487.58	$1,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $639.00	Professional		$400.00	$400.00	$639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.30 / $465.44 / $714.00	Facility		$398.30	$465.44	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $228.18 / $1,597.62	Professional		$182.55	$228.18	$1,597.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $530.00	Facility		$487.58	$487.58	$530.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $530.00	Facility		$487.58	$487.58	$530.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.51 / $2,410.66 / $2,410.66	Professional		$776.51	$2,410.66	$2,410.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,250.00	Professional		$50.00	$70.00	$1,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $530.00	Facility		$487.58	$487.58	$530.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,410.66 / $2,410.66 / $2,410.66	Professional		$2,410.66	$2,410.66	$2,410.66
United Facility/Professional Professional Modifier Low / Median / High Price $776.51 / $776.51 / $776.51	Professional		$776.51	$776.51	$776.51