Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Facility		$6,932.50	$6,932.50	$6,932.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Professional		$6,932.50	$6,932.50	$6,932.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,379.00 / $8,068.53 / $8,068.53	Professional		$5,379.00	$8,068.53	$8,068.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $12,478.50	Facility		$6,932.50	$6,932.50	$12,478.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $6,932.50 / $12,478.50	Facility		$80.00	$6,932.50	$12,478.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.49 / $351.49 / $351.49	Professional		$351.49	$351.49	$351.49
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 $6,932.50 / $6,932.50 / $12,478.50	Facility		$6,932.50	$6,932.50	$12,478.50
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 $351.49 / $540.54 / $540.54	Professional		$351.49	$540.54	$540.54