Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.30 / $6,461.00 / $17,823.00	Facility		$2,142.30	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,176.00 / $1,451.00	Professional		$1,176.00	$1,176.00	$1,451.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,290.00 / $18,458.00	Facility		$7,084.00	$11,290.00	$18,458.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,345.06 / $4,345.06 / $4,345.06	Facility		$4,345.06	$4,345.06	$4,345.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,345.06 / $11,733.00 / $15,743.00	Facility		$4,345.06	$11,733.00	$15,743.00
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 $4,345.06 / $4,345.06 / $4,345.06	Facility		$4,345.06	$4,345.06	$4,345.06
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00