Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $82.95 / $82.95	Facility		$82.95	$82.95	$82.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $86.26 / $115.96	Professional		$82.95	$86.26	$115.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $86.26 / $127.66	Professional		$86.26	$86.26	$127.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $230.61 / $353.77	Facility		$197.35	$230.61	$353.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $124.72 / $141.72	Professional		$80.25	$124.72	$141.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $82.95 / $148.59	Facility		$69.11	$82.95	$148.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $82.93 / $148.59	Facility		$69.11	$82.93	$148.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $244.15	Professional		$50.00	$58.40	$244.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $82.95 / $148.59	Facility		$69.11	$82.95	$148.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $76.00	Facility		$65.00	$65.00	$76.00