Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $195.18 / $195.18	Facility		$178.75	$195.18	$195.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $195.18 / $1,125.00	Professional		$68.81	$195.18	$1,125.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $533.75	Professional		$350.00	$350.00	$533.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $303.27 / $465.23	Facility		$259.52	$303.27	$465.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $148.68 / $692.24	Professional		$118.94	$148.68	$692.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $195.18 / $195.18	Facility		$119.00	$195.18	$195.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $195.18 / $195.18	Facility		$119.00	$195.18	$195.18
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 $119.00 / $195.18 / $195.18	Facility		$119.00	$195.18	$195.18
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $237.60	Professional		$157.25	$157.25	$237.60