Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.26 / $988.26 / $988.26	Facility		$988.26	$988.26	$988.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.26 / $988.26 / $1,600.00	Professional		$988.26	$988.26	$1,600.00
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 $1,606.70 / $1,877.55 / $2,880.21	Facility		$1,606.70	$1,877.55	$2,880.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $920.47 / $4,285.62	Professional		$736.38	$920.47	$4,285.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $988.26 / $988.26	Facility		$712.50	$988.26	$988.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $988.26 / $988.26	Facility		$712.50	$988.26	$988.26
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 $712.50 / $988.26 / $988.26	Facility		$712.50	$988.26	$988.26
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25