Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $249.99	Professional		$174.10	$174.10	$249.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.81 / $249.99 / $650.00	Professional		$246.81	$249.99	$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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $174.10 / $333.70	Facility		$89.88	$174.10	$333.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $174.10 / $362.13	Facility		$95.27	$174.10	$362.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.53 / $690.53 / $690.53	Professional		$690.53	$690.53	$690.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $956.47	Professional		$50.00	$58.40	$956.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $174.10 / $333.70	Facility		$89.88	$174.10	$333.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72