Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $223.87	Professional		$128.82	$169.82	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $316.23 / $602.56	Professional		$154.88	$316.23	$602.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $512.86	Facility		$147.91	$257.04	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $436.52	Facility		$144.54	$223.87	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $676.08	Professional		$263.03	$489.78	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,096.48 / $1,096.48	Facility		$389.05	$1,096.48	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,047.13	Professional		$851.14	$1,047.13	$1,047.13