Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.22 / $237.22 / $237.22	Facility		$237.22	$237.22	$237.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.22 / $279.48 / $327.81	Professional		$237.22	$279.48	$327.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $676.80 / $1,589.02	Professional		$389.74	$676.80	$1,589.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Facility		$358.29	$358.29	$358.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $663.00 / $753.41	Professional		$358.29	$663.00	$753.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $249.49 / $360.34 / $676.80	Facility		$249.49	$360.34	$676.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.22 / $360.34 / $676.80	Facility		$272.22	$360.34	$676.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $676.80 / $1,082.88	Professional		$676.80	$676.80	$1,082.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $55.00 / $85.00	Professional		$26.10	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $249.49 / $360.34 / $676.80	Facility		$249.49	$360.34	$676.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $792.74 / $1,105.50	Professional		$361.50	$792.74	$1,105.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,924.16 / $1,924.16 / $1,924.16	Facility		$1,924.16	$1,924.16	$1,924.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $1,868.30 / $2,621.34	Professional		$358.29	$1,868.30	$2,621.34
United Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $676.80 / $879.84	Professional		$676.80	$676.80	$879.84