Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $20.87 / $28.22	Professional		$20.87	$20.87	$28.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $75.25 / $237.03	Professional		$31.04	$75.25	$237.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $30.82 / $584.29	Facility		$20.87	$30.82	$584.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $31.31 / $2,430.37	Facility		$20.87	$31.31	$2,430.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $78.03 / $5,749.92	Professional		$36.65	$78.03	$5,749.92
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 $20.87 / $30.82 / $584.29	Facility		$20.87	$30.82	$584.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $2,614.71 / $3,729.00	Professional		$62.29	$2,614.71	$3,729.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,156.90 / $5,131.85 / $5,131.85	Facility		$2,156.90	$5,131.85	$5,131.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,313.80 / $5,749.92 / $5,749.92	Professional		$4,313.80	$5,749.92	$5,749.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,430.37 / $3,133.89 / $3,133.89	Facility		$2,430.37	$3,133.89	$3,133.89
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $103.19 / $176.97	Professional		$36.65	$103.19	$176.97