Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.89 / $3,119.00 / $14,482.00	Facility		$773.89	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.89 / $1,188.90 / $1,426.82	Professional		$773.89	$1,188.90	$1,426.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $42.71 / $42.71	Professional		$42.71	$42.71	$42.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $773.89 / $1,169.73 / $2,559.79	Facility		$773.89	$1,169.73	$2,559.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,169.73 / $5,515.40 / $8,783.00	Facility		$1,169.73	$5,515.40	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,540.22 / $2,895.03 / $6,387.29	Professional		$1,540.22	$2,895.03	$6,387.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $773.89 / $1,169.73 / $2,559.79	Facility		$773.89	$1,169.73	$2,559.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.40 / $4,341.37 / $7,924.40	Professional		$1,566.40	$4,341.37	$7,924.40