Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $193.58 / $193.58	Facility		$193.58	$193.58	$193.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $193.58 / $248.32	Professional		$172.81	$193.58	$248.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.31 / $334.21 / $590.29	Professional		$198.31	$334.21	$590.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.63 / $579.12 / $658.09	Professional		$263.63	$579.12	$658.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $215.59 / $290.37	Facility		$193.58	$215.59	$290.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $290.37 / $1,141.64	Facility		$193.58	$290.37	$1,141.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $295.43 / $722.82	Professional		$210.65	$295.43	$722.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $58.40	Professional		$50.00	$50.00	$58.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $215.59 / $290.37	Facility		$193.58	$215.59	$290.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.08 / $508.78 / $660.61	Professional		$345.08	$508.78	$660.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $399.48 / $399.48 / $1,141.64	Facility		$399.48	$399.48	$1,141.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $172.39	Professional		$172.39	$172.39	$172.39
United Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $349.82 / $722.82	Professional		$210.65	$349.82	$722.82