Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $302.58 / $302.58	Facility		$200.00	$302.58	$302.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $302.58 / $488.00	Professional		$287.33	$302.58	$488.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.50 / $835.31 / $1,966.41	Professional		$465.50	$835.31	$1,966.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $450.27 / $603.59	Facility		$302.58	$450.27	$603.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $476.71 / $2,204.14	Facility		$302.58	$476.71	$2,204.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.97 / $1,031.46 / $2,332.62	Professional		$468.97	$1,031.46	$2,332.62
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 $302.58 / $450.27 / $603.59	Facility		$302.58	$450.27	$603.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $1,121.11 / $1,601.60	Professional		$625.79	$1,121.11	$1,601.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $918.54 / $918.54 / $2,204.14	Facility		$918.54	$918.54	$2,204.14
United Facility/Professional Facility Modifier Low / Median / High Price $848.43 / $848.43 / $848.43	Facility		$848.43	$848.43	$848.43
United Facility/Professional Professional Modifier Low / Median / High Price $468.97 / $994.02 / $2,332.62	Professional		$468.97	$994.02	$2,332.62