Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $154.55 / $154.55	Facility		$154.55	$154.55	$154.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $154.55 / $221.37	Professional		$148.91	$154.55	$221.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.80 / $551.78 / $1,243.25	Professional		$262.80	$551.78	$1,243.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $445.35	Professional		$216.38	$216.38	$445.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $198.02 / $523.78	Facility		$150.41	$198.02	$523.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $194.35 / $523.78	Facility		$148.91	$194.35	$523.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $534.60	Professional		$254.57	$254.57	$534.60
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 $150.41 / $194.35 / $523.78	Facility		$150.41	$194.35	$523.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.25 / $600.24 / $893.72	Professional		$338.25	$600.24	$893.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $494.55 / $505.72 / $1,392.99	Facility		$494.55	$505.72	$1,392.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $1,128.20 / $1,351.44	Professional		$216.38	$1,128.20	$1,351.44
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $330.94	Professional		$254.57	$254.57	$330.94