Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $157.30 / $648.88	Facility		$10.58	$157.30	$648.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $652.79	Professional		$10.58	$20.00	$652.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $228.75	Professional		$150.00	$150.00	$228.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.05 / $521.25 / $799.61	Facility		$446.05	$521.25	$799.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $255.54 / $1,189.78	Professional		$204.44	$255.54	$1,189.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $38.86	Facility		$10.58	$10.58	$38.86
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 $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25