Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.95 / $125.20	Professional		$84.19	$84.95	$125.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $85.10 / $158.81	Professional		$45.00	$85.10	$158.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $9,999.99	Professional		$202.00	$202.00	$9,999.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $84.95 / $207.48	Facility		$84.19	$84.95	$207.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $84.95 / $203.88	Facility		$84.19	$84.95	$203.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Professional		$451.00	$451.00	$451.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $293.01	Professional		$50.00	$70.00	$293.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $84.95 / $207.48	Facility		$84.19	$84.95	$207.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Professional		$451.00	$451.00	$451.00