Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.46 / $54.46 / $54.46	Facility		$54.46	$54.46	$54.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $67.14 / $87.84	Professional		$54.46	$67.14	$87.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $181.53 / $432.91	Professional		$87.85	$181.53	$432.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.46 / $81.02 / $128.65	Facility		$54.46	$81.02	$128.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.46 / $81.69 / $425.37	Facility		$54.46	$81.69	$425.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $203.25 / $522.04	Professional		$92.47	$203.25	$522.04
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 $54.46 / $80.67 / $128.65	Facility		$54.46	$80.67	$128.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $216.74 / $309.10	Professional		$151.74	$216.74	$309.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $425.37 / $425.37	Facility		$221.73	$425.37	$425.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.11 / $522.04 / $522.04	Professional		$399.11	$522.04	$522.04
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $189.86 / $363.35	Professional		$90.40	$189.86	$363.35