Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,461.00 / $6,461.00 / $17,823.00	Facility		$6,461.00	$6,461.00	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,485.00 / $18,276.00	Facility		$7,084.00	$11,485.00	$18,276.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,961.06 / $3,961.06 / $3,961.06	Facility		$3,961.06	$3,961.06	$3,961.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,961.06 / $11,955.00 / $15,743.00	Facility		$3,961.06	$11,955.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,833.66 / $5,833.66 / $5,833.66	Professional		$5,833.66	$5,833.66	$5,833.66
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 $3,961.06 / $3,961.06 / $3,961.06	Facility		$3,961.06	$3,961.06	$3,961.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,833.66 / $5,833.66 / $5,833.66	Professional		$5,833.66	$5,833.66	$5,833.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00