Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.70 / $418.70 / $418.70	Facility		$418.70	$418.70	$418.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.74 / $404.20 / $513.87	Professional		$326.74	$404.20	$513.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $416.50 / $760.41	Professional		$76.04	$416.50	$760.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $952.32	Facility		$128.00	$128.00	$952.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $348.75 / $435.94	Professional		$128.00	$348.75	$435.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $560.42 / $753.66	Facility		$262.77	$560.42	$753.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $458.02 / $458.02 / $458.02	Professional		$458.02	$458.02	$458.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $418.70 / $753.66 / $3,288.67	Facility		$418.70	$753.66	$3,288.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.10 / $466.93 / $796.24	Professional		$345.10	$466.93	$796.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $220.52	Professional		$50.00	$55.00	$220.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $560.42 / $753.66	Facility		$262.77	$560.42	$753.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $458.02 / $458.02 / $458.02	Professional		$458.02	$458.02	$458.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $146.72 / $190.50	Professional		$99.51	$146.72	$190.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $1,183.78 / $3,288.67	Facility		$128.00	$1,183.78	$3,288.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.74 / $456.98 / $735.97	Professional		$338.74	$456.98	$735.97