Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Facility		$1,557.09	$1,557.09	$1,557.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $3,814.25	Professional		$1,557.09	$1,557.09	$3,814.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,890.00 / $3,400.00 / $3,400.00	Professional		$2,890.00	$3,400.00	$3,400.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $1,557.09 / $2,802.76	Facility		$928.11	$1,557.09	$2,802.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,557.09 / $2,550.00	Facility		$80.00	$1,557.09	$2,550.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $1,557.09 / $2,802.76	Facility		$928.11	$1,557.09	$2,802.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00