Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.80 / $301.30 / $301.30	Professional		$269.80	$301.30	$301.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $630.00	Facility		$350.00	$350.00	$630.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $630.00	Facility		$350.00	$350.00	$630.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84
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 $350.00 / $350.00 / $630.00	Facility		$350.00	$350.00	$630.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $495.00 / $514.79	Facility		$495.00	$495.00	$514.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84