Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $48.86 / $48.86	Facility		$48.86	$48.86	$48.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $48.96 / $82.81	Professional		$48.86	$48.96	$82.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $107.39 / $337.01	Professional		$41.39	$107.39	$337.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $72.69 / $103.51	Facility		$48.86	$72.69	$103.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $72.69 / $95.35	Facility		$72.69	$72.69	$95.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $86.72 / $280.11	Professional		$50.03	$86.72	$280.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $72.69 / $103.51	Facility		$48.86	$72.69	$103.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.19 / $98.70	Professional		$84.19	$84.19	$98.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $349.35 / $349.35 / $349.35	Facility		$349.35	$349.35	$349.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $352.04 / $614.40 / $614.40	Professional		$352.04	$614.40	$614.40
United Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $123.83 / $219.00	Professional		$51.76	$123.83	$219.00