Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $260.74 / $581.45	Facility		$260.74	$260.74	$581.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $260.74 / $325.92	Professional		$260.74	$260.74	$325.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.87 / $601.85 / $624.24	Facility		$517.87	$601.85	$624.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $277.02	Professional		$271.60	$271.60	$277.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.60 / $339.50 / $720.08	Facility		$271.60	$339.50	$720.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $290.62 / $330.25	Professional		$268.45	$290.62	$330.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $325.92 / $325.92	Facility		$260.74	$325.92	$325.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $325.92 / $325.92	Facility		$260.74	$325.92	$325.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $353.08	Professional		$271.60	$271.60	$353.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $826.55	Professional		$50.00	$85.00	$826.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $325.92 / $325.92	Facility		$260.74	$325.92	$325.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $1,186.65	Facility		$277.02	$277.02	$1,186.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $371.87	Professional		$271.60	$271.60	$371.87