Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $385.86	Facility		$200.00	$200.00	$385.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $211.49 / $385.86	Professional		$192.55	$211.49	$385.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $435.36 / $1,326.80	Professional		$192.93	$435.36	$1,326.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.68 / $275.27 / $531.97	Facility		$218.68	$275.27	$531.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.68 / $336.49 / $1,063.66	Facility		$218.68	$336.49	$1,063.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.92 / $552.16 / $1,293.17	Professional		$244.92	$552.16	$1,293.17
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 $218.68 / $275.08 / $518.53	Facility		$218.68	$275.08	$518.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $462.78 / $660.00	Professional		$324.00	$462.78	$660.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.12 / $2,489.36 / $2,489.36	Facility		$501.12	$2,489.36	$2,489.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $858.51 / $1,293.17 / $1,293.17	Professional		$858.51	$1,293.17	$1,293.17
United Facility/Professional Professional Modifier Low / Median / High Price $234.99 / $528.73 / $969.10	Professional		$234.99	$528.73	$969.10