Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $5,133.39	Facility		$5,133.39	$5,133.39	$5,133.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $5,133.39	Professional		$5,133.39	$5,133.39	$5,133.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,537.00 / $5,305.45 / $5,305.45	Professional		$3,537.00	$5,305.45	$5,305.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $9,240.12	Facility		$5,133.39	$5,133.39	$9,240.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $5,133.39 / $9,240.12	Facility		$80.00	$5,133.39	$9,240.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $260.27 / $260.27	Professional		$260.27	$260.27	$260.27
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 $5,133.39 / $5,133.39 / $9,240.12	Facility		$5,133.39	$5,133.39	$9,240.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $260.27 / $260.27	Professional		$260.27	$260.27	$260.27