Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $77.62	Professional		$19.05	$25.12	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $77.62	Professional		$26.30	$37.15	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $53.70	Facility		$19.05	$27.54	$53.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $47.86	Facility		$19.05	$26.92	$47.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $87.10	Professional		$27.54	$60.26	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $79.43	Professional		$27.54	$53.70	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $158.49	Facility		$45.71	$45.71	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $158.49	Professional		$138.04	$158.49	$158.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $199.53	Professional		$39.81	$56.23	$199.53