Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $114.73 / $296.38	Facility		$114.73	$114.73	$296.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $114.73 / $114.73	Professional		$91.83	$114.73	$114.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $42.60	Professional		$30.00	$30.00	$42.60
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 $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $114.73 / $124.70	Facility		$69.80	$114.73	$124.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $114.73 / $160.62	Facility		$91.83	$114.73	$160.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $197.12 / $1,633.50	Professional		$197.12	$197.12	$1,633.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $282.89	Professional		$50.00	$58.40	$282.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $114.73 / $124.70	Facility		$69.80	$114.73	$124.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62