Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $216.27	Facility		$50.49	$50.49	$216.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $50.49 / $55.53	Professional		$23.00	$50.49	$55.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $3.16 / $4.84	Facility		$2.70	$3.16	$4.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.16 / $2.62	Professional		$1.65	$2.16	$2.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $50.49	Facility		$50.49	$50.49	$50.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $117.97 / $117.97	Facility		$50.49	$117.97	$117.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $50.49	Facility		$50.49	$50.49	$50.49