Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Facility		$973.77	$973.77	$973.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $30.00	Professional		$20.39	$20.39	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $175.99	Professional		$175.99	$175.99	$175.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $1,460.66	Facility		$973.77	$973.77	$1,460.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $2,025.44	Facility		$973.77	$973.77	$2,025.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,420.02 / $1,420.02 / $1,420.02	Professional		$1,420.02	$1,420.02	$1,420.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $5,036.81	Professional		$50.00	$58.40	$5,036.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $1,363.28	Facility		$973.77	$973.77	$1,363.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $1,420.02 / $1,420.02	Professional		$175.99	$1,420.02	$1,420.02