Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.29 / $162.29 / $162.29	Facility		$162.29	$162.29	$162.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $162.29 / $224.00	Professional		$147.74	$162.29	$224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $332.55 / $719.33	Professional		$156.10	$332.55	$719.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $191.81 / $356.05	Facility		$144.07	$191.81	$356.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $194.99 / $431.89	Facility		$149.58	$194.99	$431.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,066.36 / $1,066.36 / $1,066.36	Professional		$1,066.36	$1,066.36	$1,066.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $559.60	Professional		$50.00	$58.40	$559.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.05 / $174.71 / $356.05	Facility		$137.05	$174.71	$356.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $264.76 / $485.90 / $677.60	Professional		$264.76	$485.90	$677.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $391.22 / $1,075.93 / $1,075.93	Facility		$391.22	$1,075.93	$1,075.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $880.25 / $1,066.36 / $1,066.36	Professional		$880.25	$1,066.36	$1,066.36