Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $540.96	Facility		$540.96	$540.96	$540.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $876.05	Professional		$540.96	$540.96	$876.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $329.95 / $650.00	Professional		$241.64	$329.95	$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 $920.40 / $920.40 / $920.40	Professional		$920.40	$920.40	$920.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $542.08 / $876.05	Facility		$542.08	$542.08	$876.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $542.08 / $876.05	Facility		$542.08	$542.08	$876.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,274.40 / $1,274.40 / $1,274.40	Professional		$1,274.40	$1,274.40	$1,274.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,357.58	Professional		$50.00	$58.40	$1,357.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $542.08 / $813.12	Facility		$542.08	$542.08	$813.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $920.40 / $1,274.40 / $1,274.40	Professional		$920.40	$1,274.40	$1,274.40