Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $245.00 / $245.00	Facility		$245.00	$245.00	$245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $242.89 / $286.77	Professional		$211.14	$242.89	$286.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $197.67 / $209.21	Professional		$53.31	$197.67	$209.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.87 / $821.36 / $1,259.99	Facility		$702.87	$821.36	$1,259.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.38 / $389.10 / $513.23	Professional		$306.38	$389.10	$513.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $248.50 / $346.60	Facility		$211.06	$248.50	$346.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $248.50 / $352.17	Facility		$211.06	$248.50	$352.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $384.63	Professional		$50.00	$65.00	$384.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $213.35 / $251.26 / $346.60	Facility		$213.35	$251.26	$346.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.23 / $258.23 / $258.23	Professional		$258.23	$258.23	$258.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81