Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.25 / $2,125.83 / $14,482.00	Facility		$726.25	$2,125.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.58 / $2,707.20 / $5,357.74	Professional		$1,451.58	$2,707.20	$5,357.74
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 $4,029.53 / $4,029.53 / $4,029.53	Facility		$4,029.53	$4,029.53	$4,029.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,455.00 / $3,800.00	Facility		$916.00	$1,455.00	$3,800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,857.49 / $1,857.49 / $5,200.20	Professional		$1,857.49	$1,857.49	$5,200.20
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 $4,029.53 / $4,029.53 / $4,029.53	Facility		$4,029.53	$4,029.53	$4,029.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,857.49 / $1,857.49 / $1,857.49	Professional		$1,857.49	$1,857.49	$1,857.49
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
United Facility/Professional Professional Modifier Low / Median / High Price $2,711.00 / $2,711.00 / $2,711.00	Professional		$2,711.00	$2,711.00	$2,711.00