Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.70 / $14,482.00	Facility		$0.70	$0.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.50 / $1,198.47 / $5,346.60	Professional		$795.50	$1,198.47	$5,346.60
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 $2,697.93 / $2,697.93 / $2,697.93	Facility		$2,697.93	$2,697.93	$2,697.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,455.00 / $3,576.00	Facility		$916.00	$1,455.00	$3,576.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,807.45 / $3,807.45 / $9,641.43	Professional		$3,807.45	$3,807.45	$9,641.43
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 $2,697.93 / $2,697.93 / $2,697.93	Facility		$2,697.93	$2,697.93	$2,697.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,807.45 / $3,807.45 / $3,807.45	Professional		$3,807.45	$3,807.45	$3,807.45
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