Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.99 / $412.99 / $412.99	Facility		$412.99	$412.99	$412.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.05 / $412.99 / $412.99	Professional		$373.05	$412.99	$412.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $357.47 / $357.47	Professional		$357.47	$357.47	$357.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $396.74 / $412.99 / $743.38	Facility		$396.74	$412.99	$743.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $412.99 / $743.38	Facility		$90.00	$412.99	$743.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $396.74 / $412.99 / $743.38	Facility		$396.74	$412.99	$743.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $296.00	Facility		$65.00	$90.00	$296.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $296.00 / $296.00	Professional		$251.60	$296.00	$296.00