Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,466.00 / $9,245.00 / $17,823.00	Facility		$8,466.00	$9,245.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,154.57 / $15,154.57 / $15,154.57	Professional		$15,154.57	$15,154.57	$15,154.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $15,502.00 / $22,165.00	Facility		$11,499.00	$15,502.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,862.89 / $20,862.89 / $20,862.89	Professional		$20,862.89	$20,862.89	$20,862.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15,154.57 / $15,154.57 / $15,154.57	Facility		$15,154.57	$15,154.57	$15,154.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,721.00 / $17,327.00	Facility		$8,627.00	$13,721.00	$17,327.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $275.83	Professional		$50.00	$65.00	$275.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15,154.57 / $15,154.57 / $15,154.57	Facility		$15,154.57	$15,154.57	$15,154.57
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00