Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $111.04	Facility		$111.04	$111.04	$111.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $111.04 / $139.38	Professional		$111.04	$111.04	$139.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $32.00 / $49.50	Professional		$13.80	$32.00	$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 $111.04 / $111.04 / $248.48	Facility		$111.04	$111.04	$248.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $254.40	Facility		$111.04	$111.04	$254.40
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 $111.04 / $111.04 / $245.07	Facility		$111.04	$111.04	$245.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $139.57	Facility		$65.00	$100.00	$139.57