Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $313.52 / $313.52	Facility		$200.00	$313.52	$313.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $772.60 / $1,559.20	Professional		$596.79	$772.60	$1,559.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,654,999.63 / $3,654,999.63 / $3,654,999.63	Professional		$3,654,999.63	$3,654,999.63	$3,654,999.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $372.09 / $400.40	Facility		$52.50	$372.09	$400.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.13 / $372.09 / $400.40	Facility		$225.13	$372.09	$400.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $728.10 / $764.11 / $960.00	Professional		$728.10	$764.11	$960.00
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 $52.50 / $372.09 / $400.40	Facility		$52.50	$372.09	$400.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $960.00	Professional		$960.00	$960.00	$960.00