Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $248.71	Facility		$248.71	$248.71	$248.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $287.08	Professional		$248.71	$248.71	$287.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.20	Professional		$60.00	$60.00	$85.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.08 / $404.08 / $404.08	Facility		$404.08	$404.08	$404.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $324.56 / $324.56	Professional		$324.56	$324.56	$324.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $373.07	Facility		$248.71	$248.71	$373.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $1,040.33	Facility		$248.71	$248.71	$1,040.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $449.39 / $449.39 / $449.39	Professional		$449.39	$449.39	$449.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,260.44	Professional		$50.00	$58.40	$1,260.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $348.19	Facility		$248.71	$248.71	$348.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $449.39 / $449.39	Professional		$324.56	$449.39	$449.39