Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $1,163.69	Facility		$308.72	$308.72	$1,163.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $569.27	Professional		$308.72	$308.72	$569.27
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 $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $604.84 / $604.84	Professional		$604.84	$604.84	$604.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $455.42 / $678.27	Facility		$455.42	$455.42	$678.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $455.42 / $782.75	Facility		$455.42	$455.42	$782.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $837.48 / $837.48 / $837.48	Professional		$837.48	$837.48	$837.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,600.94	Professional		$50.00	$58.40	$1,600.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $455.42 / $637.59	Facility		$455.42	$455.42	$637.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $837.48 / $837.48	Professional		$604.84	$837.48	$837.48