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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,888.10 / $4,888.10 / $9,167.57	Professional		$4,888.10	$4,888.10	$9,167.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $13,919.00 / $24,485.00	Facility		$5,975.00	$13,919.00	$24,485.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,760.82 / $4,760.82 / $4,760.82	Facility		$4,760.82	$4,760.82	$4,760.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,760.82 / $11,955.00 / $15,743.00	Facility		$4,760.82	$11,955.00	$15,743.00
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 $4,760.82 / $4,760.82 / $4,760.82	Facility		$4,760.82	$4,760.82	$4,760.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,341.00 / $5,341.00 / $5,341.00	Professional		$5,341.00	$5,341.00	$5,341.00
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