Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $71.09 / $158.55	Facility		$71.09	$71.09	$158.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $88.88	Professional		$71.09	$71.09	$88.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $75.55 / $75.55	Professional		$1.99	$75.55	$75.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $172.45 / $246.50	Facility		$75.55	$172.45	$246.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $74.55 / $90.47	Professional		$72.38	$74.55	$90.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Facility		$71.09	$71.09	$71.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Facility		$71.09	$71.09	$71.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $115.54	Professional		$88.88	$88.88	$115.54
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 $71.09 / $71.09 / $71.09	Facility		$71.09	$71.09	$71.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $121.69	Professional		$88.88	$88.88	$121.69