Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Facility		$182.86	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $182.86 / $182.86	Professional		$118.41	$182.86	$182.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $57.50 / $57.50	Professional		$56.80	$57.50	$57.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.56 / $179.84	Professional		$5.25	$6.56	$179.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $182.86 / $329.15	Facility		$97.20	$182.86	$329.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $182.86 / $279.77	Facility		$90.00	$182.86	$279.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $111.40 / $111.40	Professional		$111.40	$111.40	$111.40
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 $97.20 / $182.86 / $329.15	Facility		$97.20	$182.86	$329.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Facility		$65.00	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
United Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $111.40 / $111.40	Professional		$111.40	$111.40	$111.40