Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $724.44	Professional		$501.19	$501.19	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $812.83	Facility		$489.78	$616.60	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $870.96	Facility		$446.68	$616.60	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,454.71	Facility		$1,862.09	$1,862.09	$2,454.71