Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $318.22 / $6,187.20	Facility		$318.22	$318.22	$6,187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $318.22 / $1,270.80	Professional		$318.22	$318.22	$1,270.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $60.64 / $185.40	Professional		$42.45	$60.64	$185.40
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 $673.84 / $673.84 / $673.84	Professional		$673.84	$673.84	$673.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $318.22 / $1,946.66	Facility		$318.22	$318.22	$1,946.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $318.22 / $1,946.66	Facility		$318.22	$318.22	$1,946.66
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 $318.22 / $318.22 / $1,946.66	Facility		$318.22	$318.22	$1,946.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $673.84 / $673.84 / $673.84	Professional		$673.84	$673.84	$673.84