Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $193.60 / $193.60	Facility		$193.60	$193.60	$193.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $205.70	Professional		$193.60	$193.60	$205.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $178.37 / $393.35	Professional		$83.15	$178.37	$393.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.72 / $193.60 / $271.04	Facility		$165.72	$193.60	$271.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.72 / $193.60 / $288.45	Facility		$165.72	$193.60	$288.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $462.00	Professional		$220.00	$220.00	$462.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $165.72 / $193.60 / $271.04	Facility		$165.72	$193.60	$271.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $189.91 / $282.76	Professional		$107.02	$189.91	$282.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $229.90 / $907.50	Facility		$205.70	$229.90	$907.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $256.52 / $961.40	Professional		$205.70	$256.52	$961.40
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $277.20	Professional		$220.00	$220.00	$277.20