Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.82 / $755.82 / $755.82	Facility		$755.82	$755.82	$755.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.83 / $729.65 / $927.63	Professional		$589.83	$729.65	$927.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $676.70 / $1,372.69	Professional		$133.16	$676.70	$1,372.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $3,368.96	Facility		$360.90	$360.90	$3,368.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $1,233.75 / $1,542.19	Professional		$360.90	$1,233.75	$1,542.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $1,011.66 / $1,360.48	Facility		$474.33	$1,011.66	$1,360.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $826.78 / $826.78 / $826.78	Professional		$826.78	$826.78	$826.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.82 / $1,812.90 / $5,936.57	Facility		$755.82	$1,812.90	$5,936.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.95 / $842.91 / $1,437.36	Professional		$622.95	$842.91	$1,437.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $385.36	Professional		$50.00	$55.00	$385.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $1,011.66 / $1,360.48	Facility		$474.33	$1,011.66	$1,360.48
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $826.78 / $826.78 / $826.78	Professional		$826.78	$826.78	$826.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $256.36 / $332.87	Professional		$173.88	$256.36	$332.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $2,136.90 / $5,936.57	Facility		$360.90	$2,136.90	$5,936.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Professional		$360.90	$360.90	$360.90
United Facility/Professional Professional Modifier Low / Median / High Price $513.73 / $720.53 / $1,328.55	Professional		$513.73	$720.53	$1,328.55