Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $404.13	Facility		$404.13	$404.13	$404.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $404.13 / $439.79	Professional		$234.48	$404.13	$439.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $497.00	Professional		$350.00	$350.00	$497.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $104.51 / $129.72	Professional		$104.51	$104.51	$129.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $422.32	Facility		$404.13	$404.13	$422.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $644.99	Facility		$404.13	$404.13	$644.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $424.34	Facility		$404.13	$404.13	$424.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $644.99	Facility		$65.00	$100.00	$644.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $104.51 / $104.51	Professional		$104.51	$104.51	$104.51