Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $1,894.00 / $17,823.00	Facility		$1,894.00	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
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 $188.00 / $188.00 / $188.00	Facility		$188.00	$188.00	$188.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,449.00 / $2,090.40	Facility		$1,100.00	$1,449.00	$2,090.40
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 $188.00 / $188.00 / $188.00	Facility		$188.00	$188.00	$188.00
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