Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $27.06 / $31.77	Professional		$24.29	$27.06	$31.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $79.52 / $183.00	Professional		$39.02	$79.52	$183.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $28.45 / $89.28	Facility		$24.29	$28.45	$89.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $34.18 / $136.69	Facility		$24.29	$34.18	$136.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $221.34 / $221.34	Professional		$221.34	$221.34	$221.34
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 $24.29 / $28.45 / $89.28	Facility		$24.29	$28.45	$89.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $70.84 / $99.53	Professional		$49.68	$70.84	$99.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $62.36 / $162.84	Facility		$62.36	$62.36	$162.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $205.50 / $221.34	Professional		$131.90	$205.50	$221.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $94.20 / $99.74	Professional		$94.20	$94.20	$99.74