Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.79 / $1,013.26 / $15,612.30	Facility		$188.79	$1,013.26	$15,612.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,042.22 / $4,042.22 / $4,042.22	Facility		$4,042.22	$4,042.22	$4,042.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,449.00 / $3,576.00	Facility		$916.00	$1,449.00	$3,576.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,068.72 / $6,068.72 / $6,068.72	Professional		$6,068.72	$6,068.72	$6,068.72
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 $4,042.22 / $4,042.22 / $4,042.22	Facility		$4,042.22	$4,042.22	$4,042.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,068.72 / $6,068.72 / $6,068.72	Professional		$6,068.72	$6,068.72	$6,068.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90