Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $82.88	Professional		$48.75	$48.75	$82.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $63.00 / $70.00	Professional		$50.00	$63.00	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $702.69	Facility		$391.99	$458.07	$702.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $345.93 / $623.54	Professional		$245.60	$345.93	$623.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Facility		$48.75	$48.75	$122.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Facility		$48.75	$48.75	$122.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $901.00 / $901.00	Professional		$901.00	$901.00	$901.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Facility		$48.75	$48.75	$122.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $901.00 / $901.00	Professional		$318.00	$901.00	$901.00