Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $1,726.72	Facility		$1,726.72	$1,726.72	$1,726.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $1,726.72	Professional		$1,726.72	$1,726.72	$1,726.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.01 / $8.01	Professional		$6.80	$8.01	$8.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $3,108.10	Facility		$1,726.72	$1,726.72	$3,108.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $2,590.08	Facility		$1,726.72	$1,726.72	$2,590.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $3,108.10	Facility		$1,726.72	$1,726.72	$3,108.10