Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $1,300.00 / $1,300.00	Professional		$199.16	$1,300.00	$1,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.40 / $2,507.06 / $2,507.06	Professional		$1,211.40	$2,507.06	$2,507.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,615.94 / $2,972.67 / $4,689.43	Facility		$2,615.94	$2,972.67	$4,689.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.63 / $1,121.28 / $1,360.78	Professional		$1,088.63	$1,121.28	$1,360.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,300.00 / $1,300.00	Facility		$1,000.00	$1,300.00	$1,300.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,300.00 / $1,300.00	Facility		$1,000.00	$1,300.00	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $215.37 / $5,908.04	Professional		$215.37	$215.37	$5,908.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $65.00 / $85.00	Professional		$10.99	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,300.00 / $1,500.00	Facility		$1,000.00	$1,300.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $215.37 / $215.37	Professional		$215.37	$215.37	$215.37