Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.38 / $325.38 / $325.38	Facility		$325.38	$325.38	$325.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.48 / $325.38 / $417.41	Professional		$290.48	$325.38	$417.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.20 / $561.53 / $991.83	Professional		$333.20	$561.53	$991.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.25 / $972.99 / $1,105.68	Professional		$443.25	$972.99	$1,105.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $325.38 / $362.37 / $488.07	Facility		$325.38	$362.37	$488.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.38 / $488.07 / $1,918.67	Facility		$325.38	$488.07	$1,918.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $496.31 / $1,248.81	Professional		$346.94	$496.31	$1,248.81
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 $325.38 / $362.37 / $488.07	Facility		$325.38	$362.37	$488.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $579.94 / $855.06 / $1,110.23	Professional		$579.94	$855.06	$1,110.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $670.90 / $670.90 / $1,918.67	Facility		$670.90	$670.90	$1,918.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $289.52	Professional		$289.52	$289.52	$289.52
United Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $529.39 / $1,267.08	Professional		$346.94	$529.39	$1,267.08