Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $805.20 / $14,482.00	Facility		$805.20	$805.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $805.20 / $805.20	Professional		$805.20	$805.20	$805.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $95.76 / $95.76	Professional		$74.18	$95.76	$95.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $805.20 / $1,231.96	Facility		$805.20	$805.20	$1,231.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $1,449.36 / $7,700.00	Facility		$805.20	$1,449.36	$7,700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $805.20 / $1,231.96	Facility		$805.20	$805.20	$1,231.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00