Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $1,894.00 / $17,823.00	Facility		$1,894.00	$1,894.00	$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 $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 $2,804.10 / $2,804.10 / $2,804.10	Facility		$2,804.10	$2,804.10	$2,804.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,449.00 / $2,804.10	Facility		$916.00	$1,449.00	$2,804.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,275.00 / $7,275.00 / $7,275.00	Professional		$7,275.00	$7,275.00	$7,275.00
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 $2,804.10 / $2,804.10 / $2,804.10	Facility		$2,804.10	$2,804.10	$2,804.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,275.00 / $7,275.00 / $7,275.00	Professional		$7,275.00	$7,275.00	$7,275.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90