Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $842.31	Facility		$36.11	$36.11	$842.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $81.19	Professional		$36.11	$36.11	$81.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $42.60	Professional		$30.00	$30.00	$42.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $190.11 / $190.11	Facility		$190.11	$190.11	$190.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $90.93	Facility		$64.95	$64.95	$90.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $105.86	Facility		$64.95	$64.95	$105.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $144.21 / $144.21	Professional		$144.21	$144.21	$144.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $65.00 / $243.32	Professional		$38.65	$65.00	$243.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $90.93	Facility		$64.95	$64.95	$90.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
United Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $67.43 / $67.43	Facility		$67.43	$67.43	$67.43