Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Facility		$30.85	$30.85	$30.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $36.46 / $53.50	Professional		$30.85	$36.46	$53.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $83.47 / $189.87	Professional		$41.78	$83.47	$189.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $43.38 / $74.04	Facility		$30.85	$43.38	$74.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Professional		$34.39	$34.39	$34.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $44.26 / $83.47	Facility		$30.85	$44.26	$83.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $262.88 / $262.88	Professional		$262.88	$262.88	$262.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $166.54	Professional		$50.00	$65.00	$166.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $40.54 / $74.04	Facility		$30.85	$40.54	$74.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Professional		$34.39	$34.39	$34.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $92.29 / $132.87	Professional		$50.29	$92.29	$132.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.04 / $75.04 / $204.42	Facility		$75.04	$75.04	$204.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $262.88 / $262.88	Professional		$168.84	$262.88	$262.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $89.43 / $89.43	Professional		$89.43	$89.43	$89.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $89.43 / $93.96	Professional		$76.02	$89.43	$93.96