Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $11.56 / $11.56	Facility		$11.56	$11.56	$11.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $12.52 / $14.90	Professional		$11.56	$12.52	$14.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $29.61 / $65.12	Professional		$15.08	$29.61	$65.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $13.99 / $27.08	Facility		$11.10	$13.99	$27.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $15.60 / $30.70	Facility		$11.56	$15.60	$30.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $283.32 / $283.32	Professional		$283.32	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $13.91 / $27.08	Facility		$11.10	$13.91	$27.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $34.71 / $49.97	Professional		$18.91	$34.71	$49.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $27.88 / $885.11	Facility		$27.88	$27.88	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $283.32 / $283.32	Professional		$62.73	$283.32	$283.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $30.05 / $31.82	Professional		$27.04	$30.05	$31.82