Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Facility		$49.91	$49.91	$49.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.43 / $864.43 / $864.43	Professional		$864.43	$864.43	$864.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $1,339.00	Professional		$1,105.00	$1,300.00	$1,339.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $89.84	Facility		$49.91	$49.91	$89.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $74.87 / $936.60	Facility		$49.91	$74.87	$936.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $89.84	Facility		$49.91	$49.91	$89.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $936.60 / $1,300.00	Facility		$65.00	$936.60	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Professional		$1,300.00	$1,300.00	$1,300.00