Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.75 / $780.96 / $1,643.74	Facility		$646.75	$780.96	$1,643.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $780.96 / $2,300.80	Professional		$720.00	$780.96	$2,300.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,372.50	Professional		$900.00	$900.00	$1,372.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.60 / $1,324.71 / $2,032.14	Facility		$1,133.60	$1,324.71	$2,032.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $649.44 / $3,023.73	Professional		$519.54	$649.44	$3,023.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $780.96 / $780.96	Facility		$475.00	$780.96	$780.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $780.96 / $780.96	Facility		$475.00	$780.96	$780.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25
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 / $780.96 / $780.96	Facility		$475.00	$780.96	$780.96
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25