Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $93.03 / $93.03	Facility		$93.03	$93.03	$93.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $150.05 / $243.55	Professional		$93.03	$150.05	$243.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $331.60 / $1,047.47	Professional		$152.22	$331.60	$1,047.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $173.72 / $311.26	Facility		$93.03	$173.72	$311.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $185.31 / $311.26	Facility		$138.44	$185.31	$311.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $316.43 / $892.06	Professional		$177.97	$316.43	$892.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $173.72 / $311.26	Facility		$93.03	$173.72	$311.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.87 / $372.31 / $519.20	Professional		$202.87	$372.31	$519.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $714.54 / $714.54 / $714.54	Facility		$714.54	$714.54	$714.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $1,169.68 / $1,169.68	Professional		$670.14	$1,169.68	$1,169.68
United Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $466.35 / $725.83	Professional		$177.97	$466.35	$725.83