Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.77 / $447.77 / $447.77	Facility		$447.77	$447.77	$447.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.43 / $432.26 / $549.54	Professional		$349.43	$432.26	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $611.08 / $813.21	Professional		$74.06	$611.08	$813.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,873.92	Facility		$200.00	$200.00	$1,873.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $686.25 / $857.81	Professional		$179.00	$686.25	$857.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $599.34 / $805.99	Facility		$281.01	$599.34	$805.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.81 / $489.81 / $489.81	Professional		$489.81	$489.81	$489.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $447.77 / $1,262.38 / $3,516.99	Facility		$447.77	$1,262.38	$3,516.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.05 / $499.36 / $851.53	Professional		$369.05	$499.36	$851.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $214.61	Professional		$50.00	$55.00	$214.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $599.34 / $805.99	Facility		$281.01	$599.34	$805.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $489.81 / $489.81 / $489.81	Professional		$489.81	$489.81	$489.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $142.77 / $185.38	Professional		$96.84	$142.77	$185.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,265.96 / $3,516.99	Facility		$200.00	$1,265.96	$3,516.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $430.26 / $787.06	Professional		$304.14	$430.26	$787.06