Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,119.00 / $3,119.00 / $14,482.00	Facility		$3,119.00	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $1,272.24 / $3,648.70	Professional		$108.21	$1,272.24	$3,648.70
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 $9,061.23 / $9,061.23 / $9,061.23	Facility		$9,061.23	$9,061.23	$9,061.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,513.00 / $9,061.23	Facility		$916.00	$1,513.00	$9,061.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $13,834.60 / $13,834.60 / $13,834.60	Professional		$13,834.60	$13,834.60	$13,834.60
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 $9,061.23 / $9,061.23 / $9,061.23	Facility		$9,061.23	$9,061.23	$9,061.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13,834.60 / $13,834.60 / $13,834.60	Professional		$13,834.60	$13,834.60	$13,834.60
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