Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.27 / $568.61 / $589.77	Facility		$489.27	$568.61	$589.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $310.00 / $341.00	Professional		$310.00	$310.00	$341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.57 / $295.57 / $418.92	Facility		$161.57	$295.57	$418.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $126.69 / $153.75	Professional		$123.00	$126.69	$153.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $264.47 / $264.47	Facility		$79.00	$264.47	$264.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $195.94 / $293.91	Professional		$195.94	$195.94	$293.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $688.36	Professional		$50.00	$65.00	$688.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $150.82 / $150.82	Professional		$143.56	$150.82	$150.82
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $221.41 / $340.94	Professional		$195.94	$221.41	$340.94