Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $97.56 / $152.10	Facility		$97.56	$97.56	$152.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $97.56 / $126.71	Professional		$21.00	$97.56	$126.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $49.41	Professional		$32.40	$32.40	$49.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $160.06 / $245.54	Facility		$136.97	$160.06	$245.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $78.47 / $365.35	Professional		$62.78	$78.47	$365.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $97.56 / $110.20	Facility		$97.56	$97.56	$110.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $97.56 / $117.42	Facility		$97.56	$97.56	$117.42
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 $97.56 / $97.56 / $110.20	Facility		$97.56	$97.56	$110.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $216.40 / $216.40	Professional		$216.40	$216.40	$216.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $216.40 / $216.40	Professional		$216.40	$216.40	$216.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14