Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.13 / $1,894.00 / $17,823.00	Facility		$532.13	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.20 / $1,082.20 / $1,082.20	Professional		$1,082.20	$1,082.20	$1,082.20
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 $1,152.99 / $1,152.99 / $1,152.99	Facility		$1,152.99	$1,152.99	$1,152.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,449.00 / $2,090.40	Facility		$1,100.00	$1,449.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $891.00 / $891.00	Professional		$891.00	$891.00	$891.00
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 $1,152.99 / $1,152.99 / $1,152.99	Facility		$1,152.99	$1,152.99	$1,152.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,073.00 / $2,073.00 / $2,073.00	Facility		$2,073.00	$2,073.00	$2,073.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $891.00 / $891.00	Professional		$891.00	$891.00	$891.00
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