Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $171.96 / $171.96	Professional		$134.90	$171.96	$171.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $281.10 / $650.00	Professional		$135.00	$281.10	$650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $240.74	Facility		$171.96	$171.96	$240.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $332.76	Facility		$171.96	$171.96	$332.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $491.40 / $491.40	Professional		$491.40	$491.40	$491.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $794.28	Professional		$50.00	$58.40	$794.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $240.74	Facility		$171.96	$171.96	$240.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $491.40 / $491.40	Professional		$354.90	$491.40	$491.40