Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $881.45 / $881.45	Facility		$415.04	$881.45	$881.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $420.23 / $518.79	Professional		$415.04	$420.23	$518.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.33 / $432.33 / $432.33	Professional		$432.33	$432.33	$432.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $440.98	Facility		$419.98	$440.98	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $420.23 / $518.79	Facility		$415.04	$420.23	$518.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.27 / $410.09 / $494.09	Facility		$395.27	$410.09	$494.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,754.69 / $1,754.69 / $1,754.69	Professional		$1,754.69	$1,754.69	$1,754.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,206.65	Professional		$50.00	$70.00	$1,206.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $420.23 / $467.44	Facility		$415.04	$420.23	$467.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $1,731.60	Facility		$419.98	$440.98	$1,731.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $523.74 / $1,754.69	Professional		$440.98	$523.74	$1,754.69