Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.91 / $217.91 / $217.91	Facility		$217.91	$217.91	$217.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $147.85 / $217.91	Professional		$117.55	$147.85	$217.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $70.00 / $155.22	Professional		$38.79	$70.00	$155.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.55 / $803.46 / $1,232.53	Facility		$687.55	$803.46	$1,232.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $303.29 / $363.38	Professional		$286.13	$303.29	$363.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $155.09 / $217.91	Facility		$120.51	$155.09	$217.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.75 / $164.40 / $217.91	Facility		$118.75	$164.40	$217.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.43 / $661.43 / $661.43	Professional		$661.43	$661.43	$661.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.11 / $158.29 / $217.91	Facility		$118.11	$158.29	$217.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $477.70 / $661.43 / $661.43	Professional		$477.70	$661.43	$661.43