Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.40 / $785.65 / $1,552.88	Facility		$673.40	$785.65	$1,552.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.65 / $785.65 / $1,308.58	Professional		$785.65	$785.65	$1,308.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,446.30 / $1,690.11 / $2,726.09	Facility		$1,446.30	$1,690.11	$2,726.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $702.64 / $841.84	Professional		$317.33	$702.64	$841.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $785.65 / $785.65	Facility		$785.65	$785.65	$785.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $438.17 / $785.65 / $785.65	Facility		$438.17	$785.65	$785.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $4,017.75	Professional		$157.25	$157.25	$4,017.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $785.65 / $785.65	Facility		$785.65	$785.65	$785.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,017.75 / $4,017.75 / $4,017.75	Professional		$4,017.75	$4,017.75	$4,017.75
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25