Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $59.28	Facility		$59.28	$59.28	$59.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $59.28 / $74.09	Professional		$59.28	$59.28	$74.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $560.00 / $560.00	Professional		$560.00	$560.00	$560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Facility		$526.69	$526.69	$526.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $526.69 / $542.49	Professional		$447.69	$526.69	$542.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $106.70	Facility		$59.28	$59.28	$106.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $106.70	Facility		$59.28	$59.28	$106.70
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 $59.28 / $59.28 / $106.70	Facility		$59.28	$59.28	$106.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $526.69	Facility		$65.00	$80.00	$526.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Professional		$526.69	$526.69	$526.69