Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $503.81 / $1,116.72	Facility		$94.12	$503.81	$1,116.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $126.62 / $800.00	Professional		$102.14	$126.62	$800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $284.00 / $284.00	Professional		$200.00	$284.00	$284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.76 / $240.64 / $379.61	Facility		$211.76	$240.64	$379.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $110.16 / $119.90	Professional		$88.13	$110.16	$119.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $102.14 / $141.55	Facility		$100.90	$102.14	$141.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $209.88 / $755.60	Facility		$100.90	$209.88	$755.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $299.48	Professional		$50.00	$65.00	$299.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $102.14 / $141.55	Facility		$100.90	$102.14	$141.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90