Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.11 / $877.44 / $1,321.60	Facility		$635.11	$877.44	$1,321.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $635.11 / $966.40	Professional		$473.60	$635.11	$966.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $661.57	Professional		$661.57	$661.57	$661.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.09 / $648.66 / $995.07	Facility		$555.09	$648.66	$995.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $674.81 / $674.81	Professional		$231.00	$674.81	$674.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $534.51 / $635.11 / $793.89	Facility		$534.51	$635.11	$793.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.51 / $641.25 / $793.89	Facility		$534.51	$641.25	$793.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $1,058.51	Professional		$661.57	$661.57	$1,058.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $2,046.45	Professional		$50.00	$65.00	$2,046.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $534.51 / $635.11 / $793.89	Facility		$534.51	$635.11	$793.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,977.09 / $2,977.09 / $2,977.09	Facility		$2,977.09	$2,977.09	$2,977.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $841.52 / $3,016.78	Professional		$674.81	$841.52	$3,016.78
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $860.04	Professional		$661.57	$661.57	$860.04