Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Professional		$906.54	$906.54	$906.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $45.00	Professional		$10.00	$10.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.47 / $1,147.25 / $1,639.92	Facility		$632.47	$1,147.25	$1,639.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.50 / $510.39 / $611.51	Professional		$481.50	$510.39	$611.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $224.52 / $374.20	Professional		$201.63	$224.52	$374.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,802.88	Professional		$50.00	$65.00	$1,802.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
United Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $224.52 / $374.20	Professional		$168.19	$224.52	$374.20