Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $26.92	Professional		$15.85	$19.05	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $66.07	Professional		$20.42	$27.54	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.89 / $34.67	Facility		$16.98	$20.89	$34.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $41.69	Facility		$16.98	$21.38	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $70.79	Professional		$28.18	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $72.44	Professional		$24.55	$48.98	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $218.78	Facility		$154.88	$154.88	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $194.98	Professional		$104.71	$194.98	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $43.65	Professional		$36.31	$36.31	$43.65