Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,119.00 / $3,119.00 / $17,823.00	Facility		$3,119.00	$3,119.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $1,575.67	Professional		$1,575.67	$1,575.67	$1,575.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $1,575.67	Facility		$1,575.67	$1,575.67	$1,575.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,783.00 / $4,677.24 / $6,312.00	Facility		$2,783.00	$4,677.24	$6,312.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $70.00	Professional		$55.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $1,575.67	Facility		$1,575.67	$1,575.67	$1,575.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00