Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.57 / $1,060.57 / $1,060.57	Facility		$1,060.57	$1,060.57	$1,060.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $1,060.57 / $1,060.57	Professional		$818.00	$1,060.57	$1,060.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $67.26 / $81.72	Professional		$48.27	$67.26	$81.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $917.98 / $1,060.57 / $1,060.57	Facility		$917.98	$1,060.57	$1,060.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.98 / $1,060.57 / $1,341.35	Facility		$917.98	$1,060.57	$1,341.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $488.38	Professional		$50.00	$60.00	$488.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $993.59 / $1,060.57 / $1,060.57	Facility		$993.59	$1,060.57	$1,060.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $500.00	Facility		$65.00	$65.00	$500.00