Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,455.00 / $4,441.52	Facility		$1,139.00	$2,455.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $375.13 / $3,495.96	Professional		$139.57	$375.13	$3,495.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,200.18 / $1,200.18 / $1,200.18	Facility		$1,200.18	$1,200.18	$1,200.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.18 / $1,200.18 / $1,200.18	Facility		$1,200.18	$1,200.18	$1,200.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,200.18 / $1,200.18 / $1,200.18	Facility		$1,200.18	$1,200.18	$1,200.18