Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $64.67 / $144.21	Facility		$64.67	$64.67	$144.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $64.67 / $80.84	Professional		$64.67	$64.67	$80.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $68.70 / $101.40	Professional		$68.70	$68.70	$101.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.04 / $177.52 / $251.61	Facility		$97.04	$177.52	$251.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $76.09 / $92.34	Professional		$73.88	$76.09	$92.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Facility		$64.67	$64.67	$64.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Professional		$39.82	$39.82	$39.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Facility		$64.67	$64.67	$64.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $105.09	Professional		$80.84	$80.84	$105.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Facility		$64.67	$64.67	$64.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Professional		$39.82	$39.82	$39.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $68.84 / $125.89	Professional		$68.84	$68.84	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $105.09	Professional		$80.84	$80.84	$105.09