Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.51 / $193.51 / $193.51	Facility		$193.51	$193.51	$193.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $192.62 / $229.31	Professional		$164.06	$192.62	$229.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $152.49 / $161.71	Professional		$53.31	$152.49	$161.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.69 / $652.88 / $1,001.53	Facility		$558.69	$652.88	$1,001.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $309.56 / $409.68	Professional		$243.75	$309.56	$409.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $196.83 / $279.02	Facility		$164.06	$196.83	$279.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $196.83 / $279.66	Facility		$164.06	$196.83	$279.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $354.80	Professional		$50.00	$70.00	$354.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $199.21 / $279.02	Facility		$164.06	$199.21	$279.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.46 / $204.46 / $204.46	Professional		$204.46	$204.46	$204.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05