Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $13,182.57 / $14,454.40	Facility		$1,905.46	$13,182.57	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $354.81 / $1,513.56	Professional		$74.13	$354.81	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $13,803.84 / $30,199.52	Facility		$5,888.44	$13,803.84	$30,199.52
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
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,445.44 / $2,089.30	Facility		$616.60	$1,445.44	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96