Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $688.00 / $17,823.00	Facility		$688.00	$688.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $23,933.33	Professional		$688.00	$688.00	$23,933.33
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 $688.00 / $688.00 / $860.00	Facility		$688.00	$688.00	$860.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $4,810.00 / $29,251.00	Facility		$1,716.00	$4,810.00	$29,251.00
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 $688.00 / $688.00 / $860.00	Facility		$688.00	$688.00	$860.00
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 $2,203.00 / $4,917.00 / $30,620.00	Facility		$2,203.00	$4,917.00	$30,620.00