Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $1,894.00 / $17,823.00	Facility		$1,894.00	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,057.17 / $8,057.17 / $8,057.17	Professional		$8,057.17	$8,057.17	$8,057.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $662.70	Professional		$662.70	$662.70	$662.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8,057.17 / $8,057.17 / $8,057.17	Facility		$8,057.17	$8,057.17	$8,057.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,496.00 / $8,057.17 / $9,727.95	Facility		$5,496.00	$8,057.17	$9,727.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8,057.17 / $8,057.17 / $8,057.17	Facility		$8,057.17	$8,057.17	$8,057.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $662.70	Professional		$662.70	$662.70	$662.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,754.00 / $8,384.00	Facility		$4,614.00	$6,754.00	$8,384.00