Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.25 / $109.25 / $109.25	Facility		$109.25	$109.25	$109.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $105.00 / $116.15	Professional		$38.47	$105.00	$116.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $78.28 / $192.40	Professional		$45.42	$78.28	$192.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.48 / $356.98 / $474.45	Facility		$305.48	$356.98	$474.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $84.49 / $158.91	Professional		$38.22	$84.49	$158.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $99.09 / $142.60	Facility		$43.70	$99.09	$142.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $98.70 / $142.60	Facility		$45.00	$98.70	$142.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $97.75 / $301.64	Professional		$52.50	$97.75	$301.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $164.80	Professional		$50.00	$58.40	$164.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $99.09 / $142.60	Facility		$43.70	$99.09	$142.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $109.64 / $152.90	Professional		$59.74	$109.64	$152.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $88.56 / $246.01	Facility		$51.82	$88.56	$246.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $238.05 / $301.64	Professional		$38.22	$238.05	$301.64
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $100.00 / $200.77	Professional		$52.00	$100.00	$200.77