Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Facility		$97.00	$97.00	$97.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $97.00 / $97.00	Professional		$80.00	$97.00	$97.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $37.70 / $40.72	Professional		$37.70	$37.70	$40.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.60 / $94.60	Facility		$94.60	$94.60	$94.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $94.60 / $124.75	Professional		$69.06	$94.60	$124.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $97.00 / $174.60	Facility		$73.94	$97.00	$174.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $97.00 / $148.41	Facility		$73.94	$97.00	$148.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $97.00 / $174.60	Facility		$73.94	$97.00	$174.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $76.00 / $94.60	Facility		$65.00	$76.00	$94.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $94.60 / $94.60	Professional		$69.06	$94.60	$94.60