Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $200.00	Facility		$40.17	$40.17	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $59.29 / $65.34	Professional		$40.17	$59.29	$65.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $117.54 / $366.22	Professional		$62.52	$117.54	$366.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $62.38 / $208.59	Facility		$40.17	$62.38	$208.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $60.26 / $135.38	Facility		$40.17	$60.26	$135.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $131.88 / $334.80	Professional		$69.95	$131.88	$334.80
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 $40.17 / $62.38 / $208.59	Facility		$40.17	$62.38	$208.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $152.24 / $212.30	Professional		$93.39	$152.24	$212.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $292.17 / $292.17	Facility		$153.55	$292.17	$292.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $334.80 / $334.80	Professional		$276.39	$334.80	$334.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $259.83 / $259.83	Professional		$259.83	$259.83	$259.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $627.79 / $627.79 / $627.79	Professional		$627.79	$627.79	$627.79
United Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $123.57 / $266.41	Professional		$69.29	$123.57	$266.41