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 / $17,823.00	Facility		$1,894.00	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,239.19 / $7,488.50 / $9,494.50	Professional		$2,239.19	$7,488.50	$9,494.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $12,654.00 / $24,019.00	Facility		$1,979.00	$12,654.00	$24,019.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $481.24 / $481.24 / $481.24	Facility		$481.24	$481.24	$481.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.24 / $3,773.00 / $6,312.00	Facility		$481.24	$3,773.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $3,335.23 / $3,335.23	Professional		$1,117.34	$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 $481.24 / $481.24 / $481.24	Facility		$481.24	$481.24	$481.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
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 $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $85.00	Professional		$60.00	$75.00	$85.00