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 $532.17 / $532.17 / $532.17	Professional		$532.17	$532.17	$532.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $532.17 / $532.17 / $532.17	Facility		$532.17	$532.17	$532.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,455.00 / $2,090.40	Facility		$1,100.00	$1,455.00	$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 $532.17 / $532.17 / $532.17	Facility		$532.17	$532.17	$532.17
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