Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $412.43	Facility		$412.43	$412.43	$412.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $412.43 / $412.43	Professional		$385.57	$412.43	$412.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $159.25	Professional		$30.00	$30.00	$159.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $73.18 / $73.18	Professional		$73.18	$73.18	$73.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $343.58 / $412.43 / $520.52	Facility		$343.58	$412.43	$520.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.58 / $412.43 / $525.17	Facility		$343.58	$412.43	$525.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $168.32 / $168.32	Professional		$168.32	$168.32	$168.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $507.98	Professional		$50.00	$58.40	$507.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $343.58 / $412.43 / $577.40	Facility		$343.58	$412.43	$577.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $168.32 / $168.32	Professional		$73.18	$168.32	$168.32