Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $96.72	Facility		$96.72	$96.72	$96.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $96.72	Professional		$96.72	$96.72	$96.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $146.21 / $146.21	Professional		$146.21	$146.21	$146.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.66 / $324.61 / $512.07	Facility		$285.66	$324.61	$512.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $118.88 / $148.59	Professional		$58.65	$118.88	$148.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $171.66	Facility		$96.72	$96.72	$171.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $171.66	Facility		$96.72	$96.72	$171.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $185.89 / $185.89	Professional		$185.89	$185.89	$185.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $389.79	Professional		$50.00	$70.00	$389.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $171.66	Facility		$96.72	$96.72	$171.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $162.00	Professional		$153.00	$153.00	$162.00