Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $383.24	Facility		$9.60	$9.60	$383.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.00	Professional		$9.60	$9.60	$12.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7.10	Professional		$5.00	$5.00	$7.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $159.01 / $243.92	Facility		$136.07	$159.01	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $195.53 / $195.53	Professional		$58.32	$195.53	$195.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $67.98	Facility		$9.60	$9.60	$67.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $91.53	Facility		$9.60	$9.60	$91.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $452.38 / $452.38	Professional		$452.38	$452.38	$452.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $149.69	Professional		$50.00	$58.40	$149.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $60.89	Facility		$9.60	$9.60	$60.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $56.25 / $56.25	Professional		$56.25	$56.25	$56.25