Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $657.14 / $1,411.00	Facility		$657.14	$657.14	$1,411.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.14 / $794.23 / $2,300.80	Professional		$657.14	$794.23	$2,300.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,220.00	Professional		$800.00	$800.00	$1,220.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.33 / $1,061.45 / $1,628.30	Facility		$908.33	$1,061.45	$1,628.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $520.38 / $2,422.83	Professional		$416.30	$520.38	$2,422.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $657.14 / $657.14	Facility		$475.00	$657.14	$657.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $657.14 / $711.32	Facility		$475.00	$657.14	$711.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.51 / $776.51 / $776.51	Professional		$776.51	$776.51	$776.51
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 $475.00 / $657.14 / $657.14	Facility		$475.00	$657.14	$657.14
United Facility/Professional Professional Modifier Low / Median / High Price $776.51 / $776.51 / $776.51	Professional		$776.51	$776.51	$776.51