Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.83 / $1,145.06 / $3,908.10	Facility		$153.83	$1,145.06	$3,908.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.06 / $1,145.06 / $1,145.06	Professional		$1,145.06	$1,145.06	$1,145.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,145.06 / $1,145.06 / $1,717.59	Facility		$1,145.06	$1,145.06	$1,717.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,068.33 / $1,145.06 / $2,020.13	Facility		$1,068.33	$1,145.06	$2,020.13
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 $1,145.06 / $1,145.06 / $1,717.59	Facility		$1,145.06	$1,145.06	$1,717.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86