Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.95 / $1,894.00 / $17,823.00	Facility		$1,613.95	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.56 / $1,316.51 / $2,903.60	Professional		$829.56	$1,316.51	$2,903.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $13,919.00 / $24,485.00	Facility		$1,183.00	$13,919.00	$24,485.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.04 / $251.04 / $251.04	Facility		$251.04	$251.04	$251.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.04 / $1,368.00 / $2,090.40	Facility		$251.04	$1,368.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,517.00 / $3,517.00 / $3,517.00	Professional		$3,517.00	$3,517.00	$3,517.00
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 $251.04 / $251.04 / $251.04	Facility		$251.04	$251.04	$251.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,517.00 / $3,517.00 / $3,517.00	Professional		$3,517.00	$3,517.00	$3,517.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90