Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $24.75 / $24.75	Facility		$24.75	$24.75	$24.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $39.90 / $64.98	Professional		$24.75	$39.90	$64.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $88.21 / $278.64	Professional		$40.49	$88.21	$278.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $46.26 / $82.88	Facility		$24.75	$46.26	$82.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $64.98 / $95.35	Facility		$36.82	$64.98	$95.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $84.30 / $237.63	Professional		$47.40	$84.30	$237.63
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 $24.75 / $46.26 / $82.88	Facility		$24.75	$46.26	$82.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $99.39 / $138.60	Professional		$54.15	$99.39	$138.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $190.76 / $190.76	Facility		$190.76	$190.76	$190.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $311.68 / $311.68	Professional		$178.47	$311.68	$311.68
United Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $88.68 / $212.91	Professional		$47.40	$88.68	$212.91