Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.63 / $38.40	Professional		$9.44	$9.63	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $45.23	Facility		$25.23	$29.48	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $14.29 / $17.34	Professional		$13.88	$14.29	$17.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.63 / $13.72	Facility		$9.44	$9.63	$13.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.63 / $13.72	Facility		$9.44	$9.63	$13.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $30.00	Professional		$10.00	$10.00	$30.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $60.00 / $70.00	Professional		$32.56	$60.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.63 / $13.72	Facility		$9.44	$9.63	$13.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $30.00	Professional		$10.00	$10.00	$30.00