Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $1,894.00 / $17,823.00	Facility		$1,894.00	$1,894.00	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $14,174.00 / $24,485.00	Facility		$5,975.00	$14,174.00	$24,485.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,195.66 / $1,195.66 / $1,195.66	Facility		$1,195.66	$1,195.66	$1,195.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,195.66 / $11,359.00 / $17,200.00	Facility		$1,195.66	$11,359.00	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
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 $1,195.66 / $1,195.66 / $1,195.66	Facility		$1,195.66	$1,195.66	$1,195.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,967.00 / $13,752.00 / $17,327.00	Facility		$8,967.00	$13,752.00	$17,327.00