Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $1,784.00	Facility		$800.00	$800.00	$1,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,000.00	Professional		$800.00	$800.00	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $850.00 / $850.00	Professional		$301.04	$850.00	$850.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $523.59 / $748.44	Facility		$212.00	$523.59	$748.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $226.34 / $274.69	Professional		$212.00	$226.34	$274.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $490.08 / $490.08	Professional		$490.08	$490.08	$490.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $339.20	Professional		$212.00	$212.00	$339.20
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 $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $490.08 / $490.08	Professional		$490.08	$490.08	$490.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $339.20	Professional		$212.00	$212.00	$339.20