Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $8,624.61 / $17,823.00	Facility		$1,894.00	$8,624.61	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.78 / $6,099.80 / $18,886.50	Professional		$813.78	$6,099.80	$18,886.50
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,290.00 / $5,290.00 / $5,290.00	Professional		$5,290.00	$5,290.00	$5,290.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9,135.65 / $9,135.65 / $9,135.65	Facility		$9,135.65	$9,135.65	$9,135.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,789.00 / $27,040.00	Facility		$916.00	$1,789.00	$27,040.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.84 / $6,652.80 / $28,927.83	Professional		$1,412.84	$6,652.80	$28,927.83
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 $9,135.65 / $9,135.65 / $9,135.65	Facility		$9,135.65	$9,135.65	$9,135.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28,927.83 / $28,927.83 / $28,927.83	Professional		$28,927.83	$28,927.83	$28,927.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,387.14 / $2,387.14 / $2,752.23	Professional		$2,387.14	$2,387.14	$2,752.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,630.00 / $27,414.00	Facility		$1,034.00	$1,630.00	$27,414.00