Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $278.77	Professional		$85.03	$85.03	$278.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $90.42 / $500.00	Professional		$77.23	$90.42	$500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $75.23	Professional		$75.23	$75.23	$75.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $221.13	Facility		$157.94	$157.94	$221.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $247.16	Facility		$157.94	$157.94	$247.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $631.91 / $631.91	Professional		$631.91	$631.91	$631.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $252.29	Professional		$55.00	$65.00	$252.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $221.13	Facility		$157.94	$157.94	$221.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $631.91 / $631.91	Professional		$75.23	$631.91	$631.91