Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $131.72 / $131.72	Facility		$131.72	$131.72	$131.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $131.72 / $137.50	Professional		$106.45	$131.72	$137.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $43.00 / $49.50	Professional		$13.80	$43.00	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $131.72 / $187.62	Facility		$106.45	$131.72	$187.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $131.72 / $197.58	Facility		$106.45	$131.72	$197.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $131.72 / $187.62	Facility		$106.45	$131.72	$187.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00