Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.68 / $292.68 / $652.67	Facility		$292.68	$292.68	$652.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $292.68 / $365.85	Professional		$292.68	$292.68	$365.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.37 / $385.11 / $399.44	Facility		$331.37	$385.11	$399.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $328.06 / $1,096.43	Professional		$304.88	$328.06	$1,096.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $181.04 / $310.97	Facility		$112.45	$181.04	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $610.13 / $693.33	Professional		$310.97	$610.13	$693.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $292.68 / $330.54 / $480.68	Facility		$292.68	$330.54	$480.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.12 / $310.97 / $480.68	Facility		$179.12	$310.97	$480.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $640.25	Professional		$304.88	$304.88	$640.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $72.31 / $85.00	Professional		$55.00	$72.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $292.68 / $310.97 / $480.68	Facility		$292.68	$310.97	$480.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.26 / $1,094.84 / $1,526.80	Professional		$499.26	$1,094.84	$1,526.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,371.94 / $1,371.94 / $1,371.94	Facility		$1,371.94	$1,371.94	$1,371.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $387.80 / $1,390.23	Professional		$310.97	$387.80	$1,390.23
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $396.34	Professional		$304.88	$304.88	$396.34