Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.01 / $249.01 / $249.01	Facility		$249.01	$249.01	$249.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $244.62 / $288.01	Professional		$205.71	$244.62	$288.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $329.05 / $763.22	Professional		$137.77	$329.05	$763.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.11 / $582.62 / $662.06	Professional		$256.11	$582.62	$662.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $205.95 / $258.16 / $426.13	Facility		$205.95	$258.16	$426.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.95 / $259.26 / $468.68	Facility		$208.95	$259.26	$468.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.87 / $400.08 / $1,392.79	Professional		$225.87	$400.08	$1,392.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $610.20	Professional		$50.00	$65.00	$610.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $205.95 / $257.44 / $426.13	Facility		$205.95	$257.44	$426.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $373.13 / $547.47 / $769.16	Professional		$373.13	$547.47	$769.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $1,076.31 / $1,076.31	Facility		$264.48	$1,076.31	$1,076.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $390.17 / $1,052.95 / $1,392.79	Professional		$390.17	$1,052.95	$1,392.79
United Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $367.35 / $778.79	Professional		$223.44	$367.35	$778.79