Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Professional		$58.28	$58.28	$99.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $42.60	Professional		$30.00	$30.00	$42.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Facility		$58.28	$58.28	$109.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $116.80	Facility		$58.28	$58.28	$116.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $178.61 / $178.61	Professional		$178.61	$178.61	$178.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $441.84	Professional		$50.00	$58.40	$441.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Facility		$58.28	$58.28	$109.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $178.61 / $178.61	Professional		$114.90	$178.61	$178.61