Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $232.05	Facility		$225.00	$225.00	$232.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.81 / $750.00	Professional		$225.00	$362.81	$750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $762.50	Professional		$500.00	$500.00	$762.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.98 / $266.42 / $408.69	Facility		$227.98	$266.42	$408.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $130.61 / $608.11	Professional		$104.49	$130.61	$608.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $309.24	Facility		$225.00	$225.00	$309.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $3,000.00	Professional		$50.00	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25