Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $314.97	Facility		$141.24	$141.24	$314.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $141.24 / $176.55	Professional		$141.24	$141.24	$176.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $212.59	Professional		$149.71	$149.71	$212.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.93 / $373.06 / $528.76	Facility		$203.93	$373.06	$528.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $159.91 / $194.06	Professional		$155.25	$159.91	$194.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $141.24	Facility		$141.24	$141.24	$141.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $73.48	Professional		$73.48	$73.48	$73.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $141.24	Facility		$141.24	$141.24	$141.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $177.84	Professional		$136.80	$136.80	$177.84
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 $141.24 / $141.24 / $141.24	Facility		$141.24	$141.24	$141.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $73.48	Professional		$73.48	$73.48	$73.48
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $191.52	Professional		$136.80	$136.80	$191.52