Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.48 / $429.48 / $429.48	Facility		$429.48	$429.48	$429.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.02 / $429.48 / $429.48	Professional		$404.02	$429.48	$429.48
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $404.02 / $429.48 / $601.27	Facility		$404.02	$429.48	$601.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.45 / $429.48 / $617.22	Facility		$387.45	$429.48	$617.22
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 $404.02 / $429.48 / $601.27	Facility		$404.02	$429.48	$601.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $458.99	Facility		$65.00	$100.00	$458.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76