Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Facility		$38.86	$38.86	$38.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $43.19 / $50.10	Professional		$38.79	$43.19	$50.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $96.76 / $208.90	Professional		$48.43	$96.76	$208.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $47.00 / $89.53	Facility		$36.79	$47.00	$89.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Professional		$36.53	$36.53	$36.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $49.74 / $103.26	Facility		$38.86	$49.74	$103.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.82 / $314.82 / $314.82	Professional		$314.82	$314.82	$314.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $177.33	Professional		$50.00	$65.00	$177.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $46.52 / $89.53	Facility		$36.79	$46.52	$89.53
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Professional		$36.53	$36.53	$36.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $115.95 / $166.93	Professional		$63.18	$115.95	$166.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $93.68 / $256.32	Facility		$93.68	$93.68	$256.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $314.82 / $314.82	Professional		$210.78	$314.82	$314.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $107.32 / $113.63	Professional		$96.59	$107.32	$113.63