Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $8,984.52 / $17,823.00	Facility		$1,894.00	$8,984.52	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $447.02 / $447.02	Professional		$74.00	$447.02	$447.02
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 $1,372.28 / $1,372.28 / $1,372.28	Facility		$1,372.28	$1,372.28	$1,372.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,117.83 / $1,372.28 / $2,090.40	Facility		$1,117.83	$1,372.28	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $31,141.00 / $31,141.00 / $31,141.00	Professional		$31,141.00	$31,141.00	$31,141.00
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 $1,372.28 / $1,372.28 / $1,372.28	Facility		$1,372.28	$1,372.28	$1,372.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31,141.00 / $31,141.00 / $31,141.00	Professional		$31,141.00	$31,141.00	$31,141.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90