Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,162.28	Professional		$1,737.80	$1,737.80	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.17 / $6.17	Professional		$3.39	$6.17	$6.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,890.45	Facility		$1,737.80	$2,344.23	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,090.30	Facility		$1,737.80	$1,737.80	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,754.23	Facility		$2,089.30	$2,089.30	$2,754.23