Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $954.99	Professional		$323.59	$398.11	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $2,041.74	Professional		$562.34	$1,000.00	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $851.14	Facility		$323.59	$478.63	$851.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $851.14	Facility		$323.59	$489.78	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $3,890.45 / $3,890.45	Professional		$630.96	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,412.54	Professional		$562.34	$1,023.29	$1,412.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $3,311.31	Facility		$891.25	$891.25	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $3,981.07	Professional		$3,090.30	$3,981.07	$3,981.07