Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Facility		$574.00	$574.00	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $292.00 / $292.00	Professional		$292.00	$292.00	$292.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $1,118.21	Facility		$424.00	$424.00	$1,118.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.38 / $424.00 / $457.97	Professional		$366.38	$424.00	$457.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $1,033.20	Facility		$574.00	$574.00	$1,033.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $1,423.10 / $1,668.76	Facility		$574.00	$1,423.10	$1,668.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $176.64	Professional		$50.00	$58.40	$176.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $1,033.20	Facility		$574.00	$574.00	$1,033.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,423.10 / $1,423.10	Facility		$65.00	$1,423.10	$1,423.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Professional		$424.00	$424.00	$424.00