Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.48 / $291.48 / $340.12	Facility		$291.48	$291.48	$340.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.58 / $291.48 / $294.39	Professional		$195.58	$291.48	$294.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $146.88 / $164.92	Professional		$110.97	$146.88	$164.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.40 / $419.40 / $419.40	Professional		$419.40	$419.40	$419.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.29 / $291.48 / $699.55	Facility		$241.29	$291.48	$699.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.46 / $291.48 / $699.55	Facility		$210.46	$291.48	$699.55
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 $241.29 / $291.48 / $699.55	Facility		$241.29	$291.48	$699.55