Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $1,894.00 / $20,823.46	Facility		$627.98	$1,894.00	$20,823.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $627.98 / $36,832.00	Professional		$627.98	$627.98	$36,832.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,913.00 / $23,358.00 / $38,530.00	Facility		$14,913.00	$23,358.00	$38,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,000.00 / $18,000.00 / $18,000.00	Facility		$18,000.00	$18,000.00	$18,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $627.98 / $784.98	Facility		$627.98	$627.98	$784.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $1,778.00 / $34,918.00	Facility		$627.98	$1,778.00	$34,918.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $627.98 / $784.98	Facility		$627.98	$627.98	$784.98
Security Health Facility/Professional Facility Modifier Low / Median / High Price $25,543.84 / $29,951.96 / $37,564.47	Facility		$25,543.84	$29,951.96	$37,564.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $30,620.00	Facility		$1,034.00	$1,641.00	$30,620.00