Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,482.00 / $14,482.00 / $17,823.00	Facility		$14,482.00	$14,482.00	$17,823.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $189.32 / $189.32	Professional		$170.38	$189.32	$189.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $96.66 / $134.50	Facility		$67.03	$96.66	$134.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $1,215.00 / $2,090.40	Facility		$67.03	$1,215.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $161.82 / $421.30	Professional		$85.84	$161.82	$421.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $244.12	Professional		$50.00	$70.00	$244.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $96.66 / $134.50	Facility		$67.03	$96.66	$134.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $152.86 / $212.30	Professional		$82.95	$152.86	$212.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.17 / $292.17 / $292.17	Facility		$292.17	$292.17	$292.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $442.39 / $442.39	Professional		$284.13	$442.39	$442.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $184.04 / $378.69	Professional		$82.54	$184.04	$378.69