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 / $588.19 / $588.19	Professional		$202.99	$588.19	$588.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $316.80 / $396.00	Facility		$316.80	$316.80	$396.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $15,090.00 / $24,552.00	Facility		$316.80	$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 $316.80 / $316.80 / $396.00	Facility		$316.80	$316.80	$396.00