Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $579.07 / $579.07	Facility		$579.07	$579.07	$579.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $579.07 / $615.26	Professional		$579.07	$579.07	$615.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $687.65 / $723.84	Professional		$579.07	$687.65	$723.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $586.30 / $862.81	Facility		$579.07	$586.30	$862.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $586.30 / $868.61	Facility		$579.07	$586.30	$868.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $1,520.06	Professional		$723.84	$723.84	$1,520.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $579.07 / $862.81	Facility		$579.07	$579.07	$862.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $723.84 / $2,714.40	Facility		$615.26	$723.84	$2,714.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $767.27 / $2,750.59	Professional		$615.26	$767.27	$2,750.59
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $868.61	Professional		$723.84	$723.84	$868.61