Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $1,894.00 / $14,482.00	Facility		$1,894.00	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.22 / $2,335.00 / $2,335.00	Professional		$1,135.22	$2,335.00	$2,335.00
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 $3,635.60 / $3,635.60 / $3,635.60	Facility		$3,635.60	$3,635.60	$3,635.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,778.00 / $3,635.60	Facility		$1,100.00	$1,778.00	$3,635.60
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 $3,635.60 / $3,635.60 / $3,635.60	Facility		$3,635.60	$3,635.60	$3,635.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,905.20 / $1,905.20 / $1,905.20	Facility		$1,905.20	$1,905.20	$1,905.20
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 / $1,507.00 / $2,202.90	Facility		$1,008.00	$1,507.00	$2,202.90