Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.00 / $3,119.00 / $14,482.00	Facility		$1,524.00	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.27 / $1,539.64 / $5,259.20	Professional		$342.27	$1,539.64	$5,259.20
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 $2,610.61 / $2,610.61 / $2,610.61	Facility		$2,610.61	$2,610.61	$2,610.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,026.00 / $4,793.00	Facility		$1,957.00	$3,026.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,559.27 / $5,559.27 / $5,559.27	Professional		$5,559.27	$5,559.27	$5,559.27
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 $2,610.61 / $2,610.61 / $2,610.61	Facility		$2,610.61	$2,610.61	$2,610.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,559.27 / $5,559.27 / $5,559.27	Professional		$5,559.27	$5,559.27	$5,559.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00