Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $495.98 / $495.98	Facility		$495.98	$495.98	$495.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $495.98 / $619.98	Professional		$495.98	$495.98	$619.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.58 / $577.10 / $598.58	Facility		$496.58	$577.10	$598.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $526.98	Professional		$516.65	$516.65	$526.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $1,103.86 / $1,741.37	Facility		$526.98	$1,103.86	$1,741.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $526.98 / $526.98	Professional		$404.25	$526.98	$526.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $495.98 / $619.98	Facility		$495.98	$495.98	$619.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $495.98 / $619.98	Facility		$268.42	$495.98	$619.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $826.64	Professional		$516.65	$516.65	$826.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,672.70	Professional		$50.00	$65.00	$1,672.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $514.58 / $619.98	Facility		$495.98	$514.58	$619.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,224.80 / $2,224.80 / $2,224.80	Facility		$2,224.80	$2,224.80	$2,224.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $657.18 / $2,254.46	Professional		$526.98	$657.18	$2,254.46
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $671.65	Professional		$516.65	$516.65	$671.65