Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Facility		$119.70	$119.70	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $94.50 / $150.55	Professional		$80.33	$94.50	$150.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $215.46	Facility		$119.70	$119.70	$215.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $119.70 / $179.55	Facility		$80.00	$119.70	$179.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $215.46	Facility		$119.70	$119.70	$215.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $94.50 / $134.96	Facility		$65.00	$94.50	$134.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $94.50 / $150.55	Professional		$94.50	$94.50	$150.55