Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $2,272.56	Facility		$836.47	$1,032.19	$2,272.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.47 / $836.47 / $1,032.19	Professional		$836.47	$836.47	$1,032.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.54 / $343.54 / $562.14	Professional		$343.54	$343.54	$562.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.63 / $1,814.37 / $2,783.29	Facility		$1,552.63	$1,814.37	$2,783.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $820.58	Professional		$360.74	$360.74	$820.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $1,032.19	Facility		$836.47	$1,032.19	$1,032.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $1,064.49	Facility		$836.47	$1,032.19	$1,064.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $2,119.44	Professional		$50.00	$65.00	$2,119.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $1,032.19	Facility		$836.47	$1,032.19	$1,032.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74