Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $299.83 / $300.95	Facility		$299.83	$299.83	$300.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $299.83 / $345.58	Professional		$299.83	$299.83	$345.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $164.70	Professional		$108.00	$108.00	$164.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $279.05 / $428.07	Facility		$238.80	$279.05	$428.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $136.81 / $636.95	Professional		$109.45	$136.81	$636.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $265.32 / $299.83 / $315.00	Facility		$265.32	$299.83	$315.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.62 / $299.83 / $315.00	Facility		$263.62	$299.83	$315.00
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 $265.32 / $299.83 / $315.00	Facility		$265.32	$299.83	$315.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14