Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $235.38	Facility		$200.00	$200.00	$235.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.38 / $355.12 / $1,060.83	Professional		$235.38	$355.12	$1,060.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $844.82 / $2,267.84	Professional		$364.65	$844.82	$2,267.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $540.22 / $856.18 / $1,517.90	Facility		$540.22	$856.18	$1,517.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $540.22 / $870.31 / $2,430.37	Facility		$540.22	$870.31	$2,430.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.38 / $962.32 / $1,952.60	Professional		$426.38	$962.32	$1,952.60
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 $540.22 / $856.18 / $1,517.90	Facility		$540.22	$856.18	$1,517.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $868.48 / $1,238.59	Professional		$608.04	$868.48	$1,238.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,962.72 / $2,894.15 / $2,894.15	Facility		$1,962.72	$2,894.15	$2,894.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,611.90 / $1,952.60 / $1,952.60	Professional		$1,611.90	$1,952.60	$1,952.60
United Facility/Professional Facility Modifier Low / Median / High Price $384.32 / $384.32 / $384.32	Facility		$384.32	$384.32	$384.32
United Facility/Professional Professional Modifier Low / Median / High Price $409.97 / $905.01 / $2,112.67	Professional		$409.97	$905.01	$2,112.67