Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $307.42 / $409.46	Facility		$206.70	$307.42	$409.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $307.42 / $698.40	Professional		$218.77	$307.42	$698.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $610.00	Professional		$400.00	$400.00	$610.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.19 / $647.61 / $993.46	Facility		$554.19	$647.61	$993.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $317.49 / $1,478.21	Professional		$254.00	$317.49	$1,478.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $284.26 / $307.42 / $330.00	Facility		$284.26	$307.42	$330.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.25 / $307.42 / $330.00	Facility		$271.25	$307.42	$330.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14
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 $284.26 / $307.42 / $330.00	Facility		$284.26	$307.42	$330.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14