Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $116.00 / $2,960.50	Facility		$116.00	$116.00	$2,960.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $123.25	Professional		$116.00	$116.00	$123.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $123.25 / $137.75	Professional		$45.00	$123.25	$137.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $116.00 / $174.00	Facility		$116.00	$116.00	$174.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $117.45 / $174.00	Facility		$116.00	$117.45	$174.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Professional		$319.00	$319.00	$319.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $116.00 / $174.00	Facility		$116.00	$116.00	$174.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $124.70 / $210.25	Facility		$65.00	$124.70	$210.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Professional		$319.00	$319.00	$319.00