Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $262.80 / $262.80	Facility		$262.80	$262.80	$262.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $195.73 / $262.86	Professional		$176.28	$195.73	$262.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $377.34 / $1,098.77	Professional		$169.55	$377.34	$1,098.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.59 / $558.11 / $856.15	Facility		$477.59	$558.11	$856.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $770.12 / $875.14	Professional		$149.69	$770.12	$875.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.30 / $197.05 / $290.41	Facility		$155.30	$197.05	$290.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.30 / $197.05 / $310.60	Facility		$155.30	$197.05	$310.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $383.22 / $1,158.18	Professional		$183.74	$383.22	$1,158.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $154.77 / $325.03	Professional		$92.18	$154.77	$325.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $198.78 / $310.60	Facility		$158.56	$198.78	$310.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $398.38 / $732.47	Professional		$313.92	$398.38	$732.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $892.39 / $892.39 / $892.39	Facility		$892.39	$892.39	$892.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $932.15 / $1,158.18	Professional		$149.69	$932.15	$1,158.18
United Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $361.30 / $879.39	Professional		$183.74	$361.30	$879.39