Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $297.33 / $297.33	Facility		$280.50	$297.33	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $280.50 / $349.80	Professional		$280.50	$280.50	$349.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $654.94 / $936.19	Facility		$326.48	$654.94	$936.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $283.12 / $343.59	Professional		$274.88	$283.12	$343.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $330.00 / $330.00	Facility		$297.33	$330.00	$330.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $330.00 / $330.00	Facility		$280.50	$330.00	$330.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $339.28 / $480.40	Professional		$300.25	$339.28	$480.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $816.75	Professional		$50.00	$65.00	$816.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $330.00 / $330.00	Facility		$297.33	$330.00	$330.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,237.50 / $1,237.50 / $1,237.50	Facility		$1,237.50	$1,237.50	$1,237.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $339.28 / $522.44	Professional		$300.25	$339.28	$522.44