Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Facility		$175.28	$175.28	$175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $175.28 / $175.28	Professional		$163.77	$175.28	$175.28
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 $337.02 / $393.83 / $604.15	Facility		$337.02	$393.83	$604.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $148.66 / $178.12	Professional		$140.25	$148.66	$178.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $175.28 / $245.39	Facility		$163.77	$175.28	$245.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $175.28 / $321.58	Facility		$163.77	$175.28	$321.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $115.97 / $115.97	Professional		$115.97	$115.97	$115.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $390.26	Professional		$50.00	$58.40	$390.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $175.28 / $245.39	Facility		$163.77	$175.28	$245.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $115.97 / $115.97	Professional		$83.76	$115.97	$115.97