Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,931.98 / $17,823.00	Facility		$1,894.00	$3,931.98	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,693.00 / $3,693.00 / $10,015.00	Professional		$3,693.00	$3,693.00	$10,015.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $13,919.00 / $24,485.00	Facility		$5,479.00	$13,919.00	$24,485.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,545.87 / $6,545.87 / $6,545.87	Facility		$6,545.87	$6,545.87	$6,545.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,449.00 / $3,800.00	Facility		$916.00	$1,449.00	$3,800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Professional		$3,500.00	$3,500.00	$3,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6,545.87 / $6,545.87 / $6,545.87	Facility		$6,545.87	$6,545.87	$6,545.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Professional		$3,500.00	$3,500.00	$3,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90