Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.30 / $237.30 / $237.30	Facility		$237.30	$237.30	$237.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $146.44 / $146.44	Professional		$146.44	$146.44	$146.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $85.75 / $117.60	Professional		$22.79	$85.75	$117.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $494.14 / $494.14 / $494.14	Facility		$494.14	$494.14	$494.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.05 / $494.14 / $494.14	Facility		$400.05	$494.14	$494.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,238.33 / $1,238.33 / $1,238.33	Professional		$1,238.33	$1,238.33	$1,238.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $494.14 / $494.14 / $494.14	Facility		$494.14	$494.14	$494.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.33 / $1,238.33 / $1,238.33	Professional		$1,238.33	$1,238.33	$1,238.33