Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $48.56	Professional		$45.70	$45.70	$48.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $296.25 / $635.15	Professional		$147.22	$296.25	$635.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.03 / $360.45 / $510.88	Facility		$197.03	$360.45	$510.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $187.50 / $260.91	Professional		$48.56	$187.50	$260.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $48.56 / $147.22	Facility		$45.70	$48.56	$147.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $48.56 / $147.22	Facility		$45.70	$48.56	$147.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.62 / $1,576.28 / $2,049.16	Professional		$548.62	$1,576.28	$2,049.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $359.22	Professional		$50.00	$70.00	$359.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $48.56 / $147.22	Facility		$45.70	$48.56	$147.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.19 / $308.02 / $339.44	Professional		$228.19	$308.02	$339.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $159.72 / $520.84	Facility		$65.00	$159.72	$520.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $201.39 / $548.62	Professional		$48.56	$201.39	$548.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $68.56	Professional		$57.13	$57.13	$68.56