Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,821.91 / $30,195.00 / $47,965.70	Facility		$15,821.91	$30,195.00	$47,965.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,821.91 / $15,821.91 / $19,968.25	Professional		$15,821.91	$15,821.91	$19,968.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62,908.09 / $73,513.08 / $112,770.94	Facility		$62,908.09	$73,513.08	$112,770.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,087.50 / $30,523.87 / $34,686.21	Professional		$16,087.50	$30,523.87	$34,686.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13,497.00 / $15,821.91 / $15,821.91	Facility		$13,497.00	$15,821.91	$15,821.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $13,497.00 / $15,821.91 / $44,708.41	Facility		$13,497.00	$15,821.91	$44,708.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $25,629.86 / $25,629.86 / $25,629.86	Professional		$25,629.86	$25,629.86	$25,629.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14,126.71 / $15,821.91 / $15,821.91	Facility		$14,126.71	$15,821.91	$15,821.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16,087.50 / $16,087.50 / $16,087.50	Professional		$16,087.50	$16,087.50	$16,087.50