Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.58 / $701.58 / $701.58	Facility		$701.58	$701.58	$701.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $701.58 / $815.49	Professional		$91.33	$701.58	$815.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $1,092.99 / $2,657.30	Professional		$216.57	$1,092.99	$2,657.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.54 / $611.80 / $938.53	Facility		$523.54	$611.80	$938.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $272.33 / $630.72	Professional		$158.44	$272.33	$630.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $609.71 / $877.19	Facility		$111.58	$609.71	$877.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $423.42 / $890.75	Facility		$111.58	$423.42	$890.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $274.48 / $4,977.89	Professional		$74.26	$274.48	$4,977.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $291.67	Professional		$58.40	$70.00	$291.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.99 / $609.71 / $877.19	Facility		$131.99	$609.71	$877.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $985.96 / $1,804.92 / $2,523.40	Professional		$985.96	$1,804.92	$2,523.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $4,060.36 / $4,060.36	Facility		$803.63	$4,060.36	$4,060.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $3,288.51 / $4,977.89	Professional		$630.72	$3,288.51	$4,977.89
United Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $310.48 / $779.90	Professional		$83.48	$310.48	$779.90