Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.32 / $1,894.00 / $14,482.00	Facility		$437.32	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.50 / $2,912.70 / $5,669.28	Professional		$612.50	$2,912.70	$5,669.28
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 $4,853.09 / $4,853.09 / $4,853.09	Facility		$4,853.09	$4,853.09	$4,853.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,455.00 / $4,853.09	Facility		$916.00	$1,455.00	$4,853.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,805.84 / $35,872.82 / $35,872.82	Professional		$2,805.84	$35,872.82	$35,872.82
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 $4,853.09 / $4,853.09 / $4,853.09	Facility		$4,853.09	$4,853.09	$4,853.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35,872.82 / $35,872.82 / $35,872.82	Professional		$35,872.82	$35,872.82	$35,872.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90