Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $1,953.60	Facility		$855.25	$855.25	$1,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $855.25 / $855.25	Professional		$855.25	$855.25	$855.25
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 $881.33 / $881.33 / $881.33	Professional		$881.33	$881.33	$881.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $1,282.88	Facility		$855.25	$855.25	$1,282.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $1,539.45	Facility		$855.25	$855.25	$1,539.45
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 $855.25 / $855.25 / $1,282.88	Facility		$855.25	$855.25	$1,282.88