Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $5,128.61	Professional		$302.00	$302.00	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $107.15 / $128.82	Professional		$25.12	$107.15	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,479.11	Facility		$794.33	$933.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,148.15	Professional		$524.81	$616.60	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $446.68	Facility		$302.00	$302.00	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $457.09	Facility		$302.00	$302.00	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,412.54	Professional		$891.25	$1,380.38	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $97.72	Professional		$32.36	$60.26	$97.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $457.09	Professional		$331.13	$389.05	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00