Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Facility		$9.69	$9.69	$9.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $10.51 / $12.50	Professional		$9.36	$10.51	$12.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $20.52 / $47.23	Professional		$10.09	$20.52	$47.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $9.77 / $17.60	Facility		$8.76	$9.77	$17.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $7.46	Professional		$7.46	$7.46	$7.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $11.46 / $23.34	Facility		$8.76	$11.46	$23.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $75.13 / $75.13	Professional		$75.13	$75.13	$75.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $55.00 / $70.00	Professional		$35.10	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $9.77 / $17.60	Facility		$8.76	$9.77	$17.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $7.46	Professional		$7.46	$7.46	$7.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $29.97 / $43.15	Professional		$16.32	$29.97	$43.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $23.36 / $75.00	Facility		$23.36	$23.36	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $75.13 / $75.13	Professional		$52.56	$75.13	$75.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $20.39 / $21.59	Professional		$18.35	$20.39	$21.59