Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $6,367.73 / $17,823.00	Facility		$1,894.00	$6,367.73	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $1,084.00 / $9,334.40	Professional		$272.64	$1,084.00	$9,334.40
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 $1,024.00 / $1,024.00 / $1,024.00	Facility		$1,024.00	$1,024.00	$1,024.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,449.00 / $2,090.40	Facility		$916.00	$1,449.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,320.00 / $1,320.00	Professional		$1,320.00	$1,320.00	$1,320.00
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 $1,024.00 / $1,024.00 / $1,024.00	Facility		$1,024.00	$1,024.00	$1,024.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,320.00 / $1,320.00	Professional		$1,320.00	$1,320.00	$1,320.00
United Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $1,297.00 / $2,202.90	Facility		$618.00	$1,297.00	$2,202.90