Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.70 / $275.70 / $275.70	Facility		$275.70	$275.70	$275.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $275.70 / $288.33	Professional		$275.70	$275.70	$288.33
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 $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $226.63	Professional		$192.64	$192.64	$226.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.70 / $275.70 / $496.26	Facility		$275.70	$275.70	$496.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $413.55	Facility		$90.00	$90.00	$413.55
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 $275.70 / $275.70 / $496.26	Facility		$275.70	$275.70	$496.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $226.63	Facility		$65.00	$90.00	$226.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $226.63 / $226.63	Professional		$192.64	$226.63	$226.63