Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $469.17 / $627.90	Facility		$401.62	$469.17	$627.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.34 / $401.62 / $1,870.40	Professional		$384.34	$401.62	$1,870.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $64.56	Professional		$42.34	$42.34	$64.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.96 / $713.95 / $1,095.22	Facility		$610.96	$713.95	$1,095.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $350.02 / $1,629.64	Professional		$280.01	$350.02	$1,629.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $377.84 / $401.62 / $430.00	Facility		$377.84	$401.62	$430.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $377.84 / $401.62 / $436.35	Facility		$377.84	$401.62	$436.35
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 $85.00 / $1,250.00 / $3,000.00	Professional		$85.00	$1,250.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $377.84 / $401.62 / $430.00	Facility		$377.84	$401.62	$430.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25