Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.74 / $746.74 / $746.74	Facility		$746.74	$746.74	$746.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.74 / $746.74 / $933.43	Professional		$746.74	$746.74	$933.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.58 / $1,150.06 / $1,192.84	Facility		$989.58	$1,150.06	$1,192.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $777.86	Professional		$777.86	$777.86	$777.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.79 / $540.58 / $793.42	Facility		$335.79	$540.58	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $933.43	Professional		$793.42	$793.42	$933.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $746.74 / $746.74 / $933.43	Facility		$746.74	$746.74	$933.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $746.74 / $933.43	Facility		$534.91	$746.74	$933.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $1,166.79	Professional		$777.86	$777.86	$1,166.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $3,136.32	Professional		$70.00	$85.00	$3,136.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $746.74 / $774.75 / $933.43	Facility		$746.74	$774.75	$933.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,547.04 / $3,547.04 / $3,547.04	Facility		$3,547.04	$3,547.04	$3,547.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $989.44 / $3,547.03	Professional		$793.42	$989.44	$3,547.03
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $1,011.22	Professional		$777.86	$777.86	$1,011.22