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 $161.19 / $322.39 / $4,186.85	Professional		$161.19	$322.39	$4,186.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $12,654.00 / $24,019.00	Facility		$5,479.00	$12,654.00	$24,019.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,509.21 / $1,509.21 / $1,509.21	Facility		$1,509.21	$1,509.21	$1,509.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,509.21 / $3,773.00 / $6,312.00	Facility		$1,509.21	$3,773.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,449.19 / $5,449.19 / $5,449.19	Professional		$5,449.19	$5,449.19	$5,449.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,509.21 / $1,509.21 / $1,509.21	Facility		$1,509.21	$1,509.21	$1,509.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,835.60 / $1,835.60 / $1,835.60	Facility		$1,835.60	$1,835.60	$1,835.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,449.19 / $5,449.19 / $5,449.19	Professional		$5,449.19	$5,449.19	$5,449.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00