Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $17.35 / $20.37	Professional		$15.57	$17.35	$20.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $44.64 / $106.03	Professional		$19.39	$44.64	$106.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $18.23 / $57.24	Facility		$15.57	$18.23	$57.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $21.91 / $64.25	Facility		$15.57	$21.91	$64.25
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 / $65.00 / $1,250.00	Professional		$50.00	$65.00	$1,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $18.23 / $57.24	Facility		$15.57	$18.23	$57.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $45.43 / $63.83	Professional		$31.86	$45.43	$63.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $37.60 / $885.11	Facility		$37.60	$37.60	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $101.05 / $283.32	Professional		$84.60	$101.05	$283.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $44.33 / $46.94	Professional		$44.33	$44.33	$46.94