Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.37 / $196.37 / $196.37	Facility		$196.37	$196.37	$196.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $222.03 / $282.72	Professional		$167.23	$222.03	$282.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $110.32 / $342.07	Professional		$51.61	$110.32	$342.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.18 / $168.48 / $271.76	Facility		$144.18	$168.48	$271.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $150.79 / $231.93	Professional		$110.13	$150.79	$231.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $68.33 / $527.85	Facility		$53.87	$68.33	$527.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.76 / $1,100.00 / $2,043.20	Facility		$58.76	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $175.75 / $721.12	Professional		$61.12	$175.75	$721.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $105.19 / $161.79	Professional		$41.36	$105.19	$161.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $68.33 / $527.85	Facility		$53.87	$68.33	$527.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $160.68 / $222.32	Professional		$109.20	$160.68	$222.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,408.68 / $3,408.68 / $3,408.68	Facility		$3,408.68	$3,408.68	$3,408.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $2,708.00 / $2,708.00	Professional		$224.82	$2,708.00	$2,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $153.29 / $360.39	Professional		$57.01	$153.29	$360.39