Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $261.80 / $261.80	Facility		$261.80	$261.80	$261.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $261.80 / $4,923.67	Professional		$261.80	$261.80	$4,923.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.79 / $360.79 / $360.79	Facility		$360.79	$360.79	$360.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $261.80 / $3,300.77	Facility		$261.80	$261.80	$3,300.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $261.80 / $4,923.67	Facility		$261.80	$261.80	$4,923.67
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 $261.80 / $261.80 / $3,300.77	Facility		$261.80	$261.80	$3,300.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $360.79 / $360.79	Facility		$65.00	$360.79	$360.79