Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Facility		$171.15	$171.15	$171.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $392.08	Professional		$171.15	$171.15	$392.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.73 / $391.82 / $650.00	Professional		$379.73	$391.82	$650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,010.16 / $1,180.45 / $1,810.84	Facility		$1,010.16	$1,180.45	$1,810.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.38 / $445.60 / $533.88	Professional		$420.38	$445.60	$533.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $361.77	Facility		$171.15	$171.15	$361.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $392.08	Facility		$171.15	$171.15	$392.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Professional		$427.26	$427.26	$427.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,162.76	Professional		$50.00	$58.40	$1,162.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $326.77	Facility		$171.15	$171.15	$326.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $427.26 / $427.26	Professional		$204.84	$427.26	$427.26