Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $23,264.00 / $38,530.00	Facility		$10,878.00	$23,264.00	$38,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $697.05 / $697.05	Professional		$202.99	$697.05	$697.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $273.83 / $342.30	Facility		$273.83	$273.83	$342.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.11 / $15,090.00 / $24,552.00	Facility		$300.11	$15,090.00	$24,552.00
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 $273.83 / $273.83 / $342.30	Facility		$273.83	$273.83	$342.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $5,729.00 / $5,729.00	Facility		$5,729.00	$5,729.00	$5,729.00