Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $70.33 / $70.33	Facility		$70.33	$70.33	$70.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $70.33 / $87.91	Professional		$70.33	$70.33	$87.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $383.65 / $846.05	Professional		$208.11	$383.65	$846.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $353.67 / $401.90	Professional		$136.94	$353.67	$401.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $74.72 / $268.64	Facility		$70.33	$74.72	$268.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $184.99 / $197.32	Facility		$70.33	$184.99	$197.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $175.37	Professional		$83.51	$83.51	$175.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $65.00 / $85.00	Professional		$14.23	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $74.72 / $268.64	Facility		$70.33	$74.72	$268.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $614.48 / $856.90	Professional		$280.20	$614.48	$856.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,378.85 / $1,378.85 / $1,378.85	Facility		$1,378.85	$1,378.85	$1,378.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $996.65 / $1,337.71	Professional		$136.94	$996.65	$1,337.71
United Facility/Professional Facility Modifier Low / Median / High Price $399.88 / $399.88 / $435.22	Facility		$399.88	$399.88	$435.22
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $108.56	Professional		$83.51	$83.51	$108.56