Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.79 / $910.56 / $1,407.84	Facility		$108.79	$910.56	$1,407.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $128.16 / $150.34	Professional		$108.79	$128.16	$150.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.15 / $419.12 / $1,439.29	Professional		$221.15	$419.12	$1,439.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $5,432.32 / $8,569.56	Facility		$143.26	$5,432.32	$8,569.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $528.69 / $2,049.06	Professional		$143.26	$528.69	$2,049.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $217.08 / $2,170.19	Facility		$114.42	$217.08	$2,170.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $217.08 / $2,170.19	Facility		$68.40	$217.08	$2,170.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $3,472.32	Professional		$2,170.19	$2,170.19	$3,472.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $3,011.63	Professional		$55.00	$85.00	$3,011.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $217.08 / $2,170.19	Facility		$114.42	$217.08	$2,170.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $375.47 / $523.60	Professional		$171.22	$375.47	$523.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,170.19	Facility		$2,170.19	$2,170.19	$2,170.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $1,489.85 / $3,742.91	Professional		$143.26	$1,489.85	$3,742.91
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,821.26	Professional		$2,170.19	$2,170.19	$2,821.26