Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $99.96 / $147.69	Professional		$99.96	$99.96	$147.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $384.69 / $1,172.61	Professional		$162.30	$384.69	$1,172.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $147.57 / $661.02	Facility		$99.96	$147.57	$661.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $151.59 / $1,052.35	Facility		$99.96	$151.59	$1,052.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $404.82 / $6,299.47	Professional		$190.04	$404.82	$6,299.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $149.94 / $661.02	Facility		$99.96	$149.94	$661.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.51 / $2,864.61 / $4,085.40	Professional		$326.51	$2,864.61	$4,085.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,363.10 / $5,622.32 / $5,622.32	Facility		$2,363.10	$5,622.32	$5,622.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,726.20 / $6,299.47 / $6,299.47	Professional		$4,726.20	$6,299.47	$6,299.47
United Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $404.82 / $961.15	Professional		$190.04	$404.82	$961.15