Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $523.26 / $523.26	Facility		$523.26	$523.26	$523.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.34 / $505.14 / $642.20	Professional		$408.34	$505.14	$642.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $611.10 / $950.32	Professional		$94.95	$611.10	$950.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,505.28	Facility		$200.00	$200.00	$1,505.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $551.25 / $689.06	Professional		$179.00	$551.25	$689.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $700.38 / $941.87	Facility		$328.38	$700.38	$941.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $572.38 / $572.38 / $572.38	Professional		$572.38	$572.38	$572.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $1,215.39 / $4,109.93	Facility		$523.26	$1,215.39	$4,109.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.27 / $583.55 / $995.10	Professional		$431.27	$583.55	$995.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $275.08	Professional		$50.00	$55.00	$275.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $700.38 / $941.87	Facility		$328.38	$700.38	$941.87
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $572.38 / $572.38 / $572.38	Professional		$572.38	$572.38	$572.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $183.00 / $237.61	Professional		$124.12	$183.00	$237.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,479.40 / $4,109.93	Facility		$200.00	$1,479.40	$4,109.93
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 $355.66 / $553.25 / $995.10	Professional		$355.66	$553.25	$995.10