Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $585.04	Facility		$585.04	$585.04	$585.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $603.50	Professional		$585.04	$585.04	$603.50
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 $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $1,000.73 / $1,000.73	Professional		$1,000.73	$1,000.73	$1,000.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $819.06	Facility		$585.04	$585.04	$819.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $1,502.59	Facility		$585.04	$585.04	$1,502.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,385.62 / $1,385.62 / $1,385.62	Professional		$1,385.62	$1,385.62	$1,385.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,516.29	Professional		$50.00	$58.40	$1,516.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $819.06	Facility		$585.04	$585.04	$819.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $1,385.62 / $1,385.62	Professional		$1,000.73	$1,385.62	$1,385.62