Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,461.00 / $14,482.00 / $25,333.36	Facility		$6,461.00	$14,482.00	$25,333.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.40 / $1,765.00 / $1,765.00	Professional		$1,222.40	$1,765.00	$1,765.00
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 $10,735.15 / $10,735.15 / $10,735.15	Facility		$10,735.15	$10,735.15	$10,735.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,955.00 / $15,743.00	Facility		$7,217.00	$11,955.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,791.79 / $3,791.79 / $3,791.79	Professional		$3,791.79	$3,791.79	$3,791.79
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 $10,735.15 / $10,735.15 / $10,735.15	Facility		$10,735.15	$10,735.15	$10,735.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,791.79 / $3,791.79 / $3,791.79	Professional		$3,791.79	$3,791.79	$3,791.79
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