Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $229.63	Facility		$229.63	$229.63	$229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $497.70	Professional		$229.63	$229.63	$497.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.17 / $487.65 / $500.00	Professional		$485.17	$487.65	$500.00
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 $549.90 / $549.90 / $549.90	Professional		$549.90	$549.90	$549.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $712.15	Facility		$229.63	$229.63	$712.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $712.15	Facility		$229.63	$229.63	$712.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.40 / $761.40 / $761.40	Professional		$761.40	$761.40	$761.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,774.13	Professional		$50.00	$58.40	$1,774.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $497.70	Facility		$229.63	$229.63	$497.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.90 / $761.40 / $761.40	Professional		$549.90	$761.40	$761.40