Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,482.00 / $14,482.00 / $17,823.00	Facility		$14,482.00	$14,482.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.80 / $2,904.80 / $2,904.80	Professional		$2,904.80	$2,904.80	$2,904.80
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 $7,876.48 / $7,876.48 / $7,876.48	Facility		$7,876.48	$7,876.48	$7,876.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,034.00 / $7,000.00	Facility		$1,957.00	$3,034.00	$7,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,131.00 / $5,131.00 / $5,131.00	Professional		$5,131.00	$5,131.00	$5,131.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7,876.48 / $7,876.48 / $7,876.48	Facility		$7,876.48	$7,876.48	$7,876.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,131.00 / $5,131.00 / $5,131.00	Professional		$5,131.00	$5,131.00	$5,131.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00