Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Facility		$72.20	$72.20	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $70.00 / $76.76	Professional		$11.39	$70.00	$76.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $22.58 / $57.56	Professional		$13.81	$22.58	$57.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $313.50	Facility		$201.85	$235.88	$313.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $25.53 / $105.00	Professional		$11.55	$25.53	$105.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $65.36 / $94.24	Facility		$13.11	$65.36	$94.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $39.00 / $94.24	Facility		$13.20	$39.00	$94.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $29.23 / $91.15	Professional		$15.75	$29.23	$91.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $55.00 / $70.00	Professional		$49.80	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $65.36 / $94.24	Facility		$13.11	$65.36	$94.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $33.13 / $46.20	Professional		$18.05	$33.13	$46.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $26.76 / $75.00	Facility		$15.66	$26.76	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $71.90 / $91.15	Professional		$11.55	$71.90	$91.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $29.23 / $57.91	Professional		$15.00	$29.23	$57.91