Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $119.91 / $200.00	Facility		$119.91	$119.91	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $119.91 / $193.39	Professional		$113.69	$119.91	$193.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $330.60 / $778.24	Professional		$184.48	$330.60	$778.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $178.41 / $239.09	Facility		$119.91	$178.41	$239.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $188.60 / $873.48	Facility		$119.91	$188.60	$873.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.84 / $408.76 / $924.71	Professional		$185.84	$408.76	$924.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $3,000.00	Professional		$1,250.00	$1,250.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $178.41 / $239.09	Facility		$119.91	$178.41	$239.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.99 / $444.29 / $634.70	Professional		$247.99	$444.29	$634.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $364.66 / $364.66 / $873.48	Facility		$364.66	$364.66	$873.48
United Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $394.06 / $859.67	Professional		$176.92	$394.06	$859.67