Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Facility		$146.74	$146.74	$146.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $192.67	Professional		$146.74	$146.74	$192.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $203.33 / $650.00	Professional		$180.36	$203.33	$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 $259.57 / $259.57 / $259.57	Professional		$259.57	$259.57	$259.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $220.11	Facility		$146.74	$146.74	$220.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $260.10	Facility		$146.74	$146.74	$260.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $422.40 / $422.40	Professional		$422.40	$422.40	$422.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $534.08	Professional		$50.00	$58.40	$534.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $214.15	Facility		$146.74	$146.74	$214.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $259.57 / $422.40 / $422.40	Professional		$259.57	$422.40	$422.40