Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $112.54 / $248.02	Facility		$111.22	$112.54	$248.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $140.68	Professional		$112.54	$112.54	$140.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.67 / $258.77 / $268.39	Facility		$222.67	$258.77	$268.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $119.58	Professional		$117.24	$117.24	$119.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $133.22 / $243.71	Facility		$116.40	$133.22	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $123.96 / $145.50	Professional		$118.50	$123.96	$145.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $139.02 / $139.02	Facility		$112.54	$139.02	$139.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $139.02 / $139.02	Facility		$111.22	$139.02	$139.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $152.41	Professional		$117.24	$117.24	$152.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $339.84	Professional		$50.00	$85.00	$339.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $139.02 / $139.02	Facility		$112.54	$139.02	$139.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $498.86 / $498.86 / $498.86	Facility		$498.86	$498.86	$498.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $152.41	Professional		$117.24	$117.24	$152.41