Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $80.83 / $80.83	Facility		$80.83	$80.83	$80.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $81.59 / $113.14	Professional		$55.30	$81.59	$113.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $19.70 / $19.70	Professional		$15.77	$19.70	$19.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.29 / $177.96 / $273.00	Facility		$152.29	$177.96	$273.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $149.05 / $169.38	Professional		$46.50	$149.05	$169.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $78.59 / $121.25	Facility		$40.15	$78.59	$121.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $76.00 / $121.25	Facility		$40.15	$76.00	$121.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $50.00 / $58.40	Professional		$40.14	$50.00	$58.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $78.59 / $121.25	Facility		$40.15	$78.59	$121.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $76.00	Facility		$65.00	$65.00	$76.00