Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $575.28 / $575.28	Facility		$575.28	$575.28	$575.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $575.28 / $633.03	Professional		$575.28	$575.28	$633.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $810.05 / $874.85	Professional		$595.00	$810.05	$874.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $568.46 / $575.28 / $1,035.50	Facility		$568.46	$575.28	$1,035.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $575.28 / $880.18	Facility		$575.28	$575.28	$880.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $546.00 / $546.00	Professional		$546.00	$546.00	$546.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $568.46 / $575.28 / $1,035.50	Facility		$568.46	$575.28	$1,035.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $730.67 / $730.67 / $759.90	Facility		$730.67	$730.67	$759.90
United Facility/Professional Professional Modifier Low / Median / High Price $714.10 / $714.10 / $714.10	Professional		$714.10	$714.10	$714.10