Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $292.82 / $640.19	Facility		$292.82	$292.82	$640.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $292.82 / $366.03	Professional		$292.82	$292.82	$366.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.42 / $681.53 / $706.89	Facility		$586.42	$681.53	$706.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $305.02	Professional		$305.02	$305.02	$305.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.91 / $350.96 / $642.04	Facility		$293.91	$350.96	$642.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.23 / $357.10 / $405.80	Professional		$249.23	$357.10	$405.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $292.82 / $358.85	Facility		$292.82	$292.82	$358.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $305.02 / $358.85	Facility		$287.08	$305.02	$358.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $640.54	Professional		$305.02	$305.02	$640.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $7,695.00	Professional		$50.00	$70.00	$7,695.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $292.82 / $358.85	Facility		$292.82	$292.82	$358.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $311.13 / $1,481.25	Facility		$311.13	$311.13	$1,481.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $373.27 / $1,274.44	Professional		$311.13	$373.27	$1,274.44
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $427.03	Professional		$305.02	$305.02	$427.03