Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
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 $1,463.90 / $1,463.90 / $1,463.90	Professional		$1,463.90	$1,463.90	$1,463.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,229.40 / $1,229.40 / $1,229.40	Facility		$1,229.40	$1,229.40	$1,229.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,229.40 / $1,229.40 / $1,229.40	Facility		$1,229.40	$1,229.40	$1,229.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,576.51 / $1,576.51 / $1,576.51	Professional		$1,576.51	$1,576.51	$1,576.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,229.40 / $1,229.40 / $1,229.40	Facility		$1,229.40	$1,229.40	$1,229.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,463.90 / $1,576.51 / $1,576.51	Professional		$1,463.90	$1,576.51	$1,576.51