Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,913.00 / $23,358.00 / $38,530.00	Facility		$14,913.00	$23,358.00	$38,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $667.60 / $667.60	Professional		$202.99	$667.60	$667.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.60 / $199.60 / $249.50	Facility		$199.60	$199.60	$249.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.56 / $16,461.00 / $24,101.00	Facility		$221.56	$16,461.00	$24,101.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $199.60 / $199.60 / $249.50	Facility		$199.60	$199.60	$249.50