Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.25 / $6,461.00 / $17,823.00	Facility		$726.25	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,150.00 / $2,413.94	Professional		$672.00	$1,150.00	$2,413.94
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 $2,524.28 / $2,524.28 / $2,524.28	Facility		$2,524.28	$2,524.28	$2,524.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,524.28 / $11,955.00 / $15,743.00	Facility		$2,524.28	$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 $2,524.28 / $2,524.28 / $2,524.28	Facility		$2,524.28	$2,524.28	$2,524.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00