Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.29 / $503.29 / $503.29	Facility		$503.29	$503.29	$503.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $819.19	Professional		$503.29	$503.29	$819.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Facility		$390.00	$390.00	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $401.70	Professional		$331.50	$390.00	$401.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.29 / $503.29 / $905.92	Facility		$446.29	$503.29	$905.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.10 / $394.10 / $754.94	Facility		$394.10	$394.10	$754.94
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 $446.29 / $503.29 / $905.92	Facility		$446.29	$503.29	$905.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $390.00 / $394.10	Facility		$65.00	$390.00	$394.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Professional		$390.00	$390.00	$397.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $619.65 / $729.00 / $729.00	Professional		$619.65	$729.00	$729.00