Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $695.90 / $695.90	Facility		$138.65	$695.90	$695.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $884.00	Professional		$695.90	$695.90	$884.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.73 / $724.90 / $2,138.25	Professional		$664.73	$724.90	$2,138.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $1,747.05 / $2,755.99	Facility		$739.40	$1,747.05	$2,755.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $739.40 / $869.88	Professional		$639.79	$739.40	$869.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $695.90 / $739.40 / $844.72	Facility		$695.90	$739.40	$844.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.64 / $672.18 / $1,620.99	Facility		$632.64	$672.18	$1,620.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $114.40 / $703.93	Professional		$85.80	$114.40	$703.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $387.21	Professional		$50.00	$65.00	$387.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $695.90 / $739.40 / $844.72	Facility		$695.90	$739.40	$844.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.37 / $1,734.38 / $2,582.35	Professional		$977.37	$1,734.38	$2,582.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,965.50 / $2,965.50 / $2,965.50	Facility		$2,965.50	$2,965.50	$2,965.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $838.25 / $3,005.04	Professional		$739.40	$838.25	$3,005.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $114.40 / $302.77	Professional		$85.80	$114.40	$302.77