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 $1,451.00 / $1,451.00 / $1,451.00	Professional		$1,451.00	$1,451.00	$1,451.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $12,654.00 / $24,019.00	Facility		$1,183.00	$12,654.00	$24,019.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.47 / $1,348.47 / $1,348.47	Facility		$1,348.47	$1,348.47	$1,348.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,449.00 / $2,423.31	Facility		$1,100.00	$1,449.00	$2,423.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
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 $1,348.47 / $1,348.47 / $1,348.47	Facility		$1,348.47	$1,348.47	$1,348.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,423.31 / $2,423.31 / $2,423.31	Facility		$2,423.31	$2,423.31	$2,423.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90