Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.36 / $135.09	Professional		$80.53	$94.36	$135.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $80.53 / $139.78	Professional		$80.53	$80.53	$139.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $199.25 / $284.82	Facility		$83.69	$199.25	$284.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $86.13 / $104.53	Professional		$83.63	$86.13	$104.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $94.74 / $94.74	Facility		$76.20	$94.74	$94.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $418.45 / $418.45	Facility		$80.53	$418.45	$418.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $94.74 / $123.16	Professional		$71.06	$94.74	$123.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $90.00	Professional		$50.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $94.74 / $94.74	Facility		$76.20	$94.74	$94.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $334.76 / $334.76 / $418.45	Facility		$334.76	$334.76	$418.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.74 / $113.69	Professional		$80.53	$94.74	$113.69