Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $685.90 / $685.90	Facility		$307.58	$685.90	$685.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $319.11 / $384.47	Professional		$307.58	$319.11	$384.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $320.39 / $320.39	Professional		$307.00	$320.39	$320.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $629.04 / $1,091.24	Facility		$326.80	$629.04	$1,091.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $326.80 / $400.50	Professional		$320.39	$326.80	$400.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $326.80 / $384.47	Facility		$307.58	$326.80	$384.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $326.80 / $384.47	Facility		$307.58	$326.80	$384.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $1,460.99	Professional		$320.39	$320.39	$1,460.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,162.04	Professional		$50.00	$70.00	$1,162.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $326.80 / $384.47	Facility		$307.58	$326.80	$384.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $1,698.05 / $1,698.05	Facility		$326.80	$1,698.05	$1,698.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $407.54 / $1,460.99	Professional		$326.80	$407.54	$1,460.99
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $403.69	Professional		$320.39	$320.39	$403.69