Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.91 / $478.91 / $478.91	Facility		$478.91	$478.91	$478.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $478.91 / $508.84	Professional		$478.91	$478.91	$508.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,616.60 / $1,878.76 / $1,948.66	Facility		$1,616.60	$1,878.76	$1,948.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $498.87	Professional		$498.87	$498.87	$498.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $503.91 / $714.21	Facility		$275.45	$503.91	$714.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.91 / $484.90 / $713.58	Facility		$478.91	$484.90	$713.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.91 / $508.84 / $2,493.10	Facility		$478.91	$508.84	$2,493.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $1,047.63	Professional		$498.87	$498.87	$1,047.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,919.54	Professional		$50.00	$70.00	$1,919.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $478.91 / $484.90 / $713.58	Facility		$478.91	$484.90	$713.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $1,994.48 / $2,493.10	Facility		$508.84	$1,994.48	$2,493.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $634.55 / $2,274.83	Professional		$508.84	$634.55	$2,274.83
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $628.58	Professional		$498.87	$498.87	$628.58