Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.18 / $867.20 / $3,250.56	Facility		$690.18	$867.20	$3,250.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $912.87	Professional		$690.18	$690.18	$912.87
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 $240.52 / $240.52 / $610.54	Professional		$240.52	$240.52	$610.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $808.34 / $808.34 / $1,010.42	Facility		$808.34	$808.34	$1,010.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $808.34 / $808.34 / $1,131.68	Facility		$808.34	$808.34	$1,131.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,384.37 / $1,384.37 / $1,384.37	Professional		$1,384.37	$1,384.37	$1,384.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $3,335.97	Professional		$50.00	$58.40	$3,335.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $808.34 / $808.34 / $1,010.42	Facility		$808.34	$808.34	$1,010.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
United Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $525.50 / $525.50	Professional		$525.50	$525.50	$525.50