Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $17,782.79	Facility		$1,905.46	$1,905.46	$17,782.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $5,370.32	Facility		$2,238.72	$2,818.38	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,089.30	Facility		$1,096.48	$1,445.44	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $16,982.44	Facility		$1,023.29	$1,659.59	$16,982.44