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 $9,114.00 / $9,114.00 / $9,114.00	Professional		$9,114.00	$9,114.00	$9,114.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $17,505.00 / $26,520.00	Facility		$5,975.00	$17,505.00	$26,520.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,694.33 / $4,694.33 / $4,694.33	Facility		$4,694.33	$4,694.33	$4,694.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $4,694.33 / $9,547.50	Facility		$2,553.00	$4,694.33	$9,547.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,857.00 / $3,857.00 / $3,857.00	Professional		$3,857.00	$3,857.00	$3,857.00
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 $4,694.33 / $4,694.33 / $4,694.33	Facility		$4,694.33	$4,694.33	$4,694.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,857.00 / $3,857.00 / $3,857.00	Professional		$3,857.00	$3,857.00	$3,857.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00