Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $153.83 / $380.80	Professional		$81.27	$153.83	$380.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $77.36 / $124.33	Facility		$50.00	$77.36	$124.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $80.31 / $158.78	Facility		$50.00	$80.31	$158.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $139.84 / $515.54	Professional		$86.33	$139.84	$515.54
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 $50.00 / $77.16 / $124.33	Facility		$50.00	$77.16	$124.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.18 / $183.96 / $260.70	Professional		$123.18	$183.96	$260.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $364.85 / $364.85	Facility		$121.11	$364.85	$364.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $341.87 / $515.54 / $515.54	Professional		$341.87	$515.54	$515.54
United Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $128.35 / $296.04	Professional		$84.35	$128.35	$296.04