Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.54 / $232.54 / $232.54	Facility		$232.54	$232.54	$232.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $232.54 / $232.54	Professional		$134.00	$232.54	$232.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $16.43 / $28.80	Professional		$15.11	$16.43	$28.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $83.22	Professional		$43.50	$43.50	$83.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $232.54 / $348.81	Facility		$123.59	$232.54	$348.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $232.54 / $355.79	Facility		$112.29	$232.54	$355.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $232.54 / $348.81	Facility		$123.59	$232.54	$348.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional		$43.50	$43.50	$43.50