Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $1,894.00 / $17,823.00	Facility		$1,894.00	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,680.89 / $6,115.75 / $6,115.75	Professional		$4,680.89	$6,115.75	$6,115.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $13,919.00 / $24,485.00	Facility		$1,979.00	$13,919.00	$24,485.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,360.37 / $1,360.37 / $1,360.37	Facility		$1,360.37	$1,360.37	$1,360.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,368.00 / $2,090.40	Facility		$916.00	$1,368.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,000.00 / $7,000.00 / $7,000.00	Professional		$7,000.00	$7,000.00	$7,000.00
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 $1,360.37 / $1,360.37 / $1,360.37	Facility		$1,360.37	$1,360.37	$1,360.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,000.00 / $7,000.00 / $7,000.00	Professional		$7,000.00	$7,000.00	$7,000.00
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