Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1,894.00 / $17,823.00	Facility		$0.85	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $159.19 / $159.19	Professional		$159.19	$159.19	$159.19
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 $3,184.13 / $3,184.13 / $3,184.13	Facility		$3,184.13	$3,184.13	$3,184.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,773.00 / $6,312.00	Facility		$2,781.00	$3,773.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,968.00 / $3,968.00 / $3,968.00	Professional		$3,968.00	$3,968.00	$3,968.00
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 $3,184.13 / $3,184.13 / $3,184.13	Facility		$3,184.13	$3,184.13	$3,184.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,213.54 / $2,213.54 / $2,213.54	Facility		$2,213.54	$2,213.54	$2,213.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,968.00 / $3,968.00 / $3,968.00	Professional		$3,968.00	$3,968.00	$3,968.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,758.78 / $2,758.78 / $2,758.78	Professional		$2,758.78	$2,758.78	$2,758.78
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