Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.86 / $256.86 / $256.86	Facility		$256.86	$256.86	$256.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.59 / $332.60 / $426.94	Professional		$203.59	$332.60	$426.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.91 / $522.14 / $1,530.29	Professional		$275.91	$522.14	$1,530.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,193.08 / $1,394.21 / $2,138.76	Facility		$1,193.08	$1,394.21	$2,138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $620.63 / $903.26	Professional		$359.63	$620.63	$903.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $247.51 / $348.59 / $615.30	Facility		$247.51	$348.59	$615.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.18 / $359.60 / $840.27	Facility		$254.18	$359.60	$840.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $283.23 / $3,418.79	Professional		$250.44	$283.23	$3,418.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $256.86 / $354.95 / $718.22	Facility		$256.86	$354.95	$718.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $553.28 / $998.40 / $1,414.99	Professional		$553.28	$998.40	$1,414.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $833.36 / $2,315.16	Facility		$487.65	$833.36	$2,315.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $2,239.90 / $3,418.79	Professional		$359.63	$2,239.90	$3,418.79
United Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $269.26 / $508.98	Professional		$179.19	$269.26	$508.98