Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.33 / $552.33 / $552.33	Facility		$552.33	$552.33	$552.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.03 / $533.20 / $677.88	Professional		$431.03	$533.20	$677.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $911.51 / $1,003.12	Professional		$91.41	$911.51	$1,003.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $2,314.23	Facility		$359.59	$359.59	$2,314.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $847.50 / $1,059.38	Professional		$359.59	$847.50	$1,059.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $739.29 / $994.19	Facility		$346.63	$739.29	$994.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $604.17 / $604.17 / $604.17	Professional		$604.17	$604.17	$604.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.33 / $1,110.06 / $4,338.29	Facility		$552.33	$1,110.06	$4,338.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.23 / $615.98 / $1,050.38	Professional		$455.23	$615.98	$1,050.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $264.41	Professional		$50.00	$55.00	$264.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $739.29 / $994.19	Facility		$346.63	$739.29	$994.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $604.17 / $604.17 / $604.17	Professional		$604.17	$604.17	$604.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $175.90 / $228.40	Professional		$119.31	$175.90	$228.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $1,561.58 / $4,338.29	Facility		$359.59	$1,561.58	$4,338.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Professional		$359.59	$359.59	$359.59
United Facility/Professional Professional Modifier Low / Median / High Price $442.28 / $614.29 / $970.86	Professional		$442.28	$614.29	$970.86