Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $200.00	Facility		$59.84	$59.84	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $86.56 / $96.53	Professional		$59.84	$86.56	$96.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $131.69 / $260.89	Professional		$88.99	$131.69	$260.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $117.93 / $171.62	Professional		$117.93	$117.93	$171.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $110.74 / $149.60	Facility		$59.84	$110.74	$149.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.01 / $100.43 / $329.60	Facility		$70.01	$100.43	$329.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $149.91 / $354.16	Professional		$93.91	$149.91	$354.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $110.74 / $149.60	Facility		$59.84	$110.74	$149.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $181.26 / $254.22	Professional		$101.00	$181.26	$254.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $366.49 / $366.49 / $366.49	Facility		$366.49	$366.49	$366.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.50 / $564.65 / $564.65	Professional		$369.50	$564.65	$564.65
United Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $137.97 / $274.86	Professional		$88.21	$137.97	$274.86