Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $1,894.00 / $17,823.00	Facility		$558.72	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.50 / $758.50 / $758.50	Professional		$758.50	$758.50	$758.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $13,919.00 / $24,485.00	Facility		$1,183.00	$13,919.00	$24,485.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8,000.51 / $8,000.51 / $8,000.51	Facility		$8,000.51	$8,000.51	$8,000.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $1,449.00 / $3,800.00	Facility		$618.00	$1,449.00	$3,800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $2,280.00 / $2,280.00	Professional		$2,280.00	$2,280.00	$2,280.00
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 $8,000.51 / $8,000.51 / $8,000.51	Facility		$8,000.51	$8,000.51	$8,000.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $2,280.00 / $2,280.00	Professional		$2,280.00	$2,280.00	$2,280.00
United Facility/Professional Facility Modifier Low / Median / High Price $790.92 / $1,297.00 / $2,202.90	Facility		$790.92	$1,297.00	$2,202.90