Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.40 / $247.40 / $247.40	Facility		$247.40	$247.40	$247.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $247.40 / $265.39	Professional		$247.40	$247.40	$265.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $357.47 / $357.47	Professional		$357.47	$357.47	$357.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $175.95	Professional		$145.21	$170.83	$175.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $221.94 / $247.40 / $445.32	Facility		$221.94	$247.40	$445.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $247.40 / $445.32	Facility		$90.00	$247.40	$445.32
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 $221.94 / $247.40 / $445.32	Facility		$221.94	$247.40	$445.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $170.83	Facility		$65.00	$90.00	$170.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Professional		$170.83	$170.83	$170.83