Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,872.00	Facility		$1,227.04	$1,227.04	$1,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,227.04	Professional		$1,227.04	$1,227.04	$1,227.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.01 / $8.01	Professional		$6.80	$8.01	$8.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $180.84 / $180.84	Professional		$180.84	$180.84	$180.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,840.56	Facility		$1,227.04	$1,227.04	$1,840.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $2,085.96	Facility		$1,227.04	$1,227.04	$2,085.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,840.56	Facility		$1,227.04	$1,227.04	$1,840.56
United Facility/Professional Facility Modifier Low / Median / High Price $614.67 / $614.67 / $626.05	Facility		$614.67	$614.67	$626.05