Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $14,482.00	Facility		$50.00	$50.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $80.05 / $96.00	Professional		$50.00	$80.05	$96.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $113.84 / $281.63	Professional		$38.35	$113.84	$281.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $135.30 / $135.30	Professional		$107.65	$135.30	$135.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $77.16 / $104.76	Facility		$50.00	$77.16	$104.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $78.37 / $98.49	Facility		$50.93	$78.37	$98.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $188.32 / $515.54	Professional		$89.21	$188.32	$515.54
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 $50.00 / $78.04 / $104.76	Facility		$50.00	$78.04	$104.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $183.81 / $260.70	Professional		$103.58	$183.81	$260.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $364.85 / $364.85 / $364.85	Facility		$364.85	$364.85	$364.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $341.87 / $515.54 / $515.54	Professional		$341.87	$515.54	$515.54
United Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $140.43 / $140.43	Facility		$140.43	$140.43	$140.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $164.52 / $358.84	Professional		$86.98	$164.52	$358.84