Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $170.09 / $379.30	Facility		$170.09	$170.09	$379.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $212.61	Professional		$170.09	$170.09	$212.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $256.02	Professional		$180.72	$180.72	$256.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.81 / $447.86 / $634.77	Facility		$244.81	$447.86	$634.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $191.97 / $232.97	Professional		$186.38	$191.97	$232.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Facility		$170.09	$170.09	$170.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Professional		$104.22	$104.22	$104.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Facility		$170.09	$170.09	$170.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $234.39	Professional		$180.30	$180.30	$234.39
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 $170.09 / $170.09 / $170.09	Facility		$170.09	$170.09	$170.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Professional		$104.22	$104.22	$104.22
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $234.39	Professional		$180.30	$180.30	$234.39