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 $5,975.00 / $14,764.00 / $27,974.00	Facility		$5,975.00	$14,764.00	$27,974.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,939.04 / $2,939.04 / $4,806.62	Facility		$2,939.04	$2,939.04	$4,806.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $4,096.39 / $19,003.00	Facility		$2,553.00	$4,096.39	$19,003.00
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 $2,939.04 / $2,939.04 / $4,806.62	Facility		$2,939.04	$2,939.04	$4,806.62
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 $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00