Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.90 / $124.90 / $124.90	Facility		$124.90	$124.90	$124.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $151.91 / $282.25	Professional		$124.90	$151.91	$282.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $341.93 / $809.15	Professional		$100.00	$341.93	$809.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $248.86	Facility		$183.96	$183.96	$248.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $292.83 / $393.60	Professional		$183.96	$292.83	$393.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.78 / $169.98 / $496.85	Facility		$115.78	$169.98	$496.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $172.59 / $533.30	Facility		$119.48	$172.59	$533.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $1,301.95	Professional		$215.05	$215.05	$1,301.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $218.34	Professional		$50.00	$65.00	$218.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $161.02 / $462.36	Facility		$116.65	$161.02	$462.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $527.71 / $735.90	Professional		$216.42	$527.71	$735.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $248.86 / $1,184.14 / $1,184.14	Facility		$248.86	$1,184.14	$1,184.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $976.10 / $1,301.95	Professional		$183.96	$976.10	$1,301.95
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $258.06	Professional		$215.05	$215.05	$258.06