Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $238.46 / $521.33	Facility		$238.46	$238.46	$521.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $241.44 / $253.36	Professional		$238.46	$241.44	$253.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.30 / $550.05 / $570.52	Facility		$473.30	$550.05	$570.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $248.39	Professional		$248.39	$248.39	$248.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $243.75 / $345.48	Facility		$133.24	$243.75	$345.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $241.44 / $355.31	Facility		$238.46	$241.44	$355.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $248.39 / $1,201.00	Facility		$233.78	$248.39	$1,201.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $521.62	Professional		$248.39	$248.39	$521.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $879.37	Professional		$50.00	$70.00	$879.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $238.46 / $355.31	Facility		$238.46	$238.46	$355.31
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 $248.39 / $960.80 / $1,201.00	Facility		$248.39	$960.80	$1,201.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $302.51 / $1,037.82	Professional		$253.36	$302.51	$1,037.82
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $312.97	Professional		$248.39	$248.39	$312.97