Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $264.30 / $264.30	Professional		$264.30	$264.30	$264.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.57 / $405.00 / $1,549.12	Professional		$264.57	$405.00	$1,549.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $677.14 / $1,604.95	Professional		$317.00	$677.14	$1,604.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $304.98 / $304.98 / $304.98	Facility		$304.98	$304.98	$304.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.98 / $304.98 / $304.98	Facility		$304.98	$304.98	$304.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.70 / $553.50 / $2,415.00	Professional		$263.70	$553.50	$2,415.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $278.64	Professional		$55.00	$85.00	$278.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $304.98 / $304.98 / $304.98	Facility		$304.98	$304.98	$304.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $646.86 / $646.86 / $646.86	Facility		$646.86	$646.86	$646.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $317.00 / $317.00	Professional		$317.00	$317.00	$317.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $316.00 / $616.07	Professional		$266.80	$316.00	$616.07