Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.43 / $315.43 / $315.43	Facility		$315.43	$315.43	$315.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $315.43 / $473.38	Professional		$315.43	$315.43	$473.38
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 $5.41 / $6.32 / $9.69	Facility		$5.41	$6.32	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.10 / $14.42	Professional		$2.48	$3.10	$14.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.27 / $315.43 / $455.00	Facility		$263.27	$315.43	$455.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $315.43 / $455.00	Facility		$252.70	$315.43	$455.00
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 $263.27 / $315.43 / $455.00	Facility		$263.27	$315.43	$455.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14