Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.51 / $200.00 / $200.00	Facility		$187.51	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $282.82 / $1,196.80	Professional		$187.51	$282.82	$1,196.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $690.88 / $2,180.96	Professional		$290.57	$690.88	$2,180.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $540.22 / $856.18 / $1,517.76	Facility		$540.22	$856.18	$1,517.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $540.22 / $880.23 / $1,700.33	Facility		$540.22	$880.23	$1,700.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $982.22 / $1,596.95 / $3,956.52	Professional		$982.22	$1,596.95	$3,956.52
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 / $1,517.76	Facility		$540.22	$856.18	$1,517.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $614.00 / $738.14	Professional		$351.00	$614.00	$738.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $713.55 / $1,293.79 / $1,293.79	Facility		$713.55	$1,293.79	$1,293.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,191.33 / $1,555.83 / $1,555.83	Professional		$1,191.33	$1,555.83	$1,555.83
United Facility/Professional Professional Modifier Low / Median / High Price $951.32 / $1,941.02 / $3,956.52	Professional		$951.32	$1,941.02	$3,956.52