Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.70 / $61.75	Professional		$14.40	$24.70	$61.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $34.92	Facility		$34.92	$34.92	$34.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $34.92	Professional		$5.25	$5.25	$34.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $54.57 / $54.57	Facility		$54.57	$54.57	$54.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $112.62 / $112.62	Facility		$54.57	$112.62	$112.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.10 / $14.10	Professional		$14.10	$14.10	$14.10
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 $54.57 / $54.57 / $54.57	Facility		$54.57	$54.57	$54.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $65.00 / $112.62	Facility		$34.92	$65.00	$112.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $34.92	Professional		$5.25	$5.25	$34.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.10 / $14.10	Professional		$14.10	$14.10	$14.10