Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.52 / $595.52 / $595.52	Facility		$595.52	$595.52	$595.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.68 / $546.11 / $652.13	Professional		$442.68	$546.11	$652.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.64 / $659.33 / $1,804.90	Professional		$385.64	$659.33	$1,804.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,245.34 / $1,455.29 / $2,232.44	Facility		$1,245.34	$1,455.29	$2,232.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.33 / $1,081.83 / $1,477.60	Professional		$547.33	$1,081.83	$1,477.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $499.45 / $584.60 / $833.73	Facility		$499.45	$584.60	$833.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.45 / $584.60 / $1,107.58	Facility		$499.45	$584.60	$1,107.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.55 / $690.01 / $3,895.19	Professional		$404.55	$690.01	$3,895.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $480.89	Professional		$58.40	$70.00	$480.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $499.45 / $565.27 / $833.73	Facility		$499.45	$565.27	$833.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $897.38 / $1,295.78 / $1,817.42	Professional		$897.38	$1,295.78	$1,817.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $1,117.90 / $2,543.21	Facility		$624.92	$1,117.90	$2,543.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $583.09 / $2,372.67 / $3,895.19	Professional		$583.09	$2,372.67	$3,895.19
United Facility/Professional Professional Modifier Low / Median / High Price $404.55 / $658.30 / $1,414.48	Professional		$404.55	$658.30	$1,414.48