Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,870.00 / $16,083.00 / $22,519.00	Facility		$10,870.00	$16,083.00	$22,519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.42 / $1,580.49 / $10,565.76	Professional		$890.42	$1,580.49	$10,565.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $666.07 / $1,512.42 / $2,268.63	Facility		$666.07	$1,512.42	$2,268.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,512.42 / $2,722.36 / $16,779.00	Facility		$1,512.42	$2,722.36	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,040.58 / $1,737.03 / $4,256.96	Professional		$1,040.58	$1,737.03	$4,256.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $6,023.80	Professional		$50.00	$58.40	$6,023.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $666.07 / $1,512.42 / $2,268.63	Facility		$666.07	$1,512.42	$2,268.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $5,729.00 / $5,729.00	Facility		$5,729.00	$5,729.00	$5,729.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.58 / $1,848.95 / $4,256.96	Professional		$1,040.58	$1,848.95	$4,256.96