Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.12 / $241.12 / $241.12	Professional		$241.12	$241.12	$241.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.28 / $402.68 / $1,413.25	Professional		$254.28	$402.68	$1,413.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.98 / $542.25 / $2,064.55	Professional		$342.98	$542.25	$2,064.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $278.23 / $278.23 / $278.23	Facility		$278.23	$278.23	$278.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $278.23 / $278.23 / $278.23	Facility		$278.23	$278.23	$278.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.94 / $484.85 / $1,600.00	Professional		$342.94	$484.85	$1,600.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $371.51	Professional		$55.00	$85.00	$371.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $278.23 / $278.23 / $278.23	Facility		$278.23	$278.23	$278.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $862.48 / $862.48 / $862.48	Facility		$862.48	$862.48	$862.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.18 / $421.34 / $821.43	Professional		$352.18	$421.34	$821.43