Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.47 / $287.47 / $287.47	Facility		$287.47	$287.47	$287.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.57 / $287.47 / $333.37	Professional		$263.57	$287.47	$333.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $248.65 / $258.47	Professional		$53.31	$248.65	$258.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.48 / $921.40 / $1,413.45	Facility		$788.48	$921.40	$1,413.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.88 / $429.10 / $574.71	Professional		$337.88	$429.10	$574.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $259.49 / $287.64 / $411.55	Facility		$259.49	$287.64	$411.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.49 / $287.64 / $411.55	Facility		$259.49	$287.64	$411.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $708.50	Professional		$50.00	$65.00	$708.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $259.49 / $287.64 / $411.55	Facility		$259.49	$287.64	$411.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $285.20	Professional		$285.20	$285.20	$285.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70