Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $9,972.20 / $17,823.00	Facility		$1,894.00	$9,972.20	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $2,575.00 / $4,080.00	Professional		$525.00	$2,575.00	$4,080.00
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 $396.90 / $396.90 / $396.90	Facility		$396.90	$396.90	$396.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,783.00 / $4,792.00 / $6,312.00	Facility		$2,783.00	$4,792.00	$6,312.00
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 $396.90 / $396.90 / $396.90	Facility		$396.90	$396.90	$396.90
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 $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00