Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $104.55 / $104.55	Facility		$104.55	$104.55	$104.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $104.55 / $151.51	Professional		$101.80	$104.55	$151.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.35 / $422.28 / $890.88	Professional		$216.35	$422.28	$890.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.34 / $132.16 / $705.48	Facility		$102.34	$132.16	$705.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $129.62 / $705.48	Facility		$101.80	$129.62	$705.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $720.03	Professional		$342.87	$342.87	$720.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.34 / $129.62 / $705.48	Facility		$102.34	$129.62	$705.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $414.96 / $610.95	Professional		$231.23	$414.96	$610.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.08 / $345.72 / $952.26	Facility		$338.08	$345.72	$952.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $771.26 / $923.86	Professional		$147.91	$771.26	$923.86
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $469.46	Professional		$342.87	$342.87	$469.46