Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $748.07 / $1,668.20	Facility		$748.07	$748.07	$1,668.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $748.07 / $935.09	Professional		$748.07	$748.07	$935.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $779.24 / $779.24	Professional		$779.24	$779.24	$779.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $748.07 / $748.07	Facility		$748.07	$748.07	$748.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $748.07 / $748.07	Facility		$748.07	$748.07	$748.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,508.55	Professional		$85.00	$85.00	$2,508.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $748.07 / $748.07	Facility		$748.07	$748.07	$748.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,853.40 / $3,853.40 / $3,853.40	Facility		$3,853.40	$3,853.40	$3,853.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83