Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $44.61 / $44.61	Facility		$44.61	$44.61	$44.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $46.96 / $61.33	Professional		$44.61	$46.96	$61.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $91.71 / $242.58	Professional		$40.70	$91.71	$242.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $52.12 / $136.69	Facility		$42.00	$52.12	$136.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.73 / $30.73	Professional		$30.73	$30.73	$30.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $52.23 / $151.19	Facility		$44.61	$52.23	$151.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $338.50 / $338.50	Professional		$82.01	$338.50	$338.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $139.90	Professional		$50.00	$58.40	$139.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $52.12 / $136.69	Facility		$42.00	$52.12	$136.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.73 / $30.73	Professional		$30.73	$30.73	$30.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $133.31 / $191.92	Professional		$72.64	$133.31	$191.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.76 / $885.11 / $885.11	Facility		$130.76	$885.11	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $338.50 / $338.50	Professional		$242.28	$338.50	$338.50