Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.38 / $798.38 / $1,506.70	Facility		$798.38	$798.38	$1,506.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.41 / $798.38 / $798.38	Professional		$513.41	$798.38	$798.38
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 $1,155.24 / $1,349.98 / $2,070.91	Facility		$1,155.24	$1,349.98	$2,070.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $600.94	Professional		$291.51	$291.51	$600.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $553.76 / $798.38 / $798.38	Facility		$553.76	$798.38	$798.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $553.76 / $798.38 / $1,117.73	Facility		$553.76	$798.38	$1,117.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $753.66 / $753.66 / $753.66	Professional		$753.66	$753.66	$753.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,813.29	Professional		$50.00	$58.40	$1,813.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $553.76 / $798.38 / $873.80	Facility		$553.76	$798.38	$873.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51