Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.89 / $8,806.87 / $10,075.00	Facility		$48.89	$8,806.87	$10,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,759.30 / $4,759.30 / $4,759.30	Professional		$4,759.30	$4,759.30	$4,759.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $9,720.00 / $15,579.70	Facility		$6,293.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,811.00 / $3,143.00 / $9,310.00	Professional		$1,811.00	$3,143.00	$9,310.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,759.30 / $4,759.30 / $4,759.30	Facility		$4,759.30	$4,759.30	$4,759.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,759.30 / $4,759.30	Facility		$100.00	$4,759.30	$4,759.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,759.30 / $4,759.30 / $4,759.30	Facility		$4,759.30	$4,759.30	$4,759.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00