Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.78 / $678.78 / $678.78	Facility		$678.78	$678.78	$678.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $678.78 / $736.87	Professional		$678.78	$678.78	$736.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.90 / $1,051.47 / $1,051.47	Professional		$1,031.90	$1,051.47	$1,051.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Facility		$536.83	$536.83	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $536.83 / $552.92	Professional		$456.31	$536.83	$552.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $612.42 / $678.78 / $1,221.80	Facility		$612.42	$678.78	$1,221.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $612.42 / $678.78 / $3,511.34	Facility		$612.42	$678.78	$3,511.34
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 $612.42 / $678.78 / $1,221.80	Facility		$612.42	$678.78	$1,221.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $536.83 / $3,511.34	Facility		$65.00	$536.83	$3,511.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Professional		$536.83	$536.83	$536.83