Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $242.71	Facility		$242.71	$242.71	$242.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $311.20	Professional		$242.71	$242.71	$311.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $141.22 / $500.00	Professional		$121.21	$141.22	$500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $321.54	Facility		$242.71	$242.71	$321.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $339.79	Facility		$242.71	$242.71	$339.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $290.20 / $290.20	Professional		$290.20	$290.20	$290.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,319.51	Professional		$50.00	$58.40	$1,319.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $321.54	Facility		$242.71	$242.71	$321.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04