Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $215.28 / $215.28	Facility		$215.28	$215.28	$215.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.28 / $236.03 / $348.69	Professional		$215.28	$236.03	$348.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $565.83 / $1,159.16	Professional		$248.11	$565.83	$1,159.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $267.05 / $541.04	Facility		$215.28	$267.05	$541.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $192.49 / $192.49	Professional		$192.49	$192.49	$192.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $267.05 / $541.04	Facility		$215.28	$267.05	$541.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.91 / $1,733.46 / $1,733.46	Professional		$412.91	$1,733.46	$1,733.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $930.62	Professional		$50.00	$58.40	$930.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $267.05 / $541.04	Facility		$215.28	$267.05	$541.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $192.49 / $192.49	Professional		$192.49	$192.49	$192.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.76 / $671.27 / $966.40	Professional		$365.76	$671.27	$966.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,517.75 / $1,517.75 / $1,517.75	Facility		$1,517.75	$1,517.75	$1,517.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,165.95 / $1,277.70 / $1,733.46	Professional		$1,165.95	$1,277.70	$1,733.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $513.26 / $543.45 / $591.75	Professional		$513.26	$543.45	$591.75