Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Facility		$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Professional		$85.50	$85.50	$85.50
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 $85.50 / $85.50 / $153.90	Facility		$85.50	$85.50	$153.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $135.94	Facility		$85.50	$85.50	$135.94
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 $85.50 / $85.50 / $153.90	Facility		$85.50	$85.50	$153.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00