Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $20.74 / $24.88	Professional		$19.12	$20.74	$24.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $42.43 / $98.11	Professional		$22.74	$42.43	$98.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $22.34 / $40.21	Facility		$18.28	$22.34	$40.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $16.93	Professional		$16.93	$16.93	$16.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $22.81 / $51.28	Facility		$19.30	$22.81	$51.28
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 / $70.00 / $80.26	Professional		$50.00	$70.00	$80.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $22.34 / $40.21	Facility		$18.28	$22.34	$40.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $16.93	Professional		$16.93	$16.93	$16.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $57.58 / $82.90	Professional		$31.38	$57.58	$82.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.52 / $46.52 / $885.11	Facility		$46.52	$46.52	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $283.32 / $283.32	Professional		$104.67	$283.32	$283.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $40.47 / $42.85	Professional		$36.42	$40.47	$42.85