Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.82 / $277.82 / $277.82	Professional		$277.82	$277.82	$277.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.99 / $463.97 / $1,628.37	Professional		$292.99	$463.97	$1,628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $837.55 / $2,648.18	Professional		$502.00	$837.55	$2,648.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.58 / $320.58 / $320.58	Facility		$320.58	$320.58	$320.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.58 / $320.58 / $320.58	Facility		$320.58	$320.58	$320.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.24 / $876.37 / $2,307.06	Professional		$407.24	$876.37	$2,307.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $441.17	Professional		$55.00	$85.00	$441.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $320.58 / $320.58 / $320.58	Facility		$320.58	$320.58	$320.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,024.20 / $1,024.20 / $1,024.20	Facility		$1,024.20	$1,024.20	$1,024.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $502.00 / $502.00	Professional		$502.00	$502.00	$502.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.12 / $500.34 / $975.44	Professional		$353.12	$500.34	$975.44