Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $80.06	Facility		$80.06	$80.06	$80.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $90.65	Professional		$80.06	$80.06	$90.65
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $101.34 / $101.34	Professional		$101.34	$101.34	$101.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $120.09	Facility		$80.06	$80.06	$120.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $126.61	Facility		$80.06	$80.06	$126.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $175.50	Professional		$175.50	$175.50	$175.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $303.79	Professional		$50.00	$58.40	$303.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $112.08	Facility		$80.06	$80.06	$112.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $175.50 / $175.50	Professional		$101.34	$175.50	$175.50
United Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $117.84 / $117.84	Facility		$117.84	$117.84	$117.84