Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,659.59	Professional		$812.83	$977.24	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Professional		$891.25	$891.25	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,019.95	Facility		$1,621.81	$1,862.09	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,096.48	Professional		$741.31	$912.01	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $977.24	Facility		$707.95	$977.24	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $977.24 / $977.24	Facility		$436.52	$977.24	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $602.56	Facility		$114.82	$114.82	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $1,445.44	Professional		$158.49	$158.49	$1,445.44