Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,374.87	Facility		$2,374.87	$2,374.87	$2,374.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,374.87	Professional		$2,374.87	$2,374.87	$2,374.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $112.57 / $151.19	Professional		$112.57	$112.57	$151.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $4,274.77	Facility		$2,374.87	$2,374.87	$4,274.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,374.87 / $4,274.77	Facility		$80.00	$2,374.87	$4,274.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $551.14	Professional		$50.00	$65.00	$551.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $4,274.77	Facility		$2,374.87	$2,374.87	$4,274.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00