Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $369.68	Facility		$369.68	$369.68	$369.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $442.97	Professional		$369.68	$369.68	$442.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $3,780.00	Professional		$378.00	$378.00	$3,780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.05 / $1,408.05 / $1,408.05	Facility		$1,408.05	$1,408.05	$1,408.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $554.52	Facility		$369.68	$369.68	$554.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $768.93	Facility		$369.68	$369.68	$768.93
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 $369.68 / $369.68 / $517.54	Facility		$369.68	$369.68	$517.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,408.05 / $1,408.05	Facility		$65.00	$1,408.05	$1,408.05