Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Facility		$826.50	$826.50	$826.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Professional		$826.50	$826.50	$826.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $54.28 / $54.28	Professional		$54.28	$54.28	$54.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $826.50 / $826.50	Facility		$90.92	$826.50	$826.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $826.50 / $922.79	Facility		$90.92	$826.50	$922.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $75.16 / $75.16	Professional		$75.16	$75.16	$75.16
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 $826.50 / $826.50 / $876.09	Facility		$826.50	$826.50	$876.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Facility		$65.00	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $75.16 / $75.16	Professional		$54.28	$75.16	$75.16