Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.75 / $326.75 / $326.75	Facility		$326.75	$326.75	$326.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.75 / $358.34 / $956.74	Professional		$326.75	$358.34	$956.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.03 / $1,077.15 / $2,562.19	Professional		$550.03	$1,077.15	$2,562.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $326.75 / $458.47 / $821.43	Facility		$326.75	$458.47	$821.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $648.78 / $648.78 / $648.78	Professional		$648.78	$648.78	$648.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.75 / $458.47 / $845.66	Facility		$326.75	$458.47	$845.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $626.88 / $3,879.51 / $3,879.51	Professional		$626.88	$3,879.51	$3,879.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $2,554.17	Professional		$50.00	$58.40	$2,554.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $326.75 / $458.47 / $821.43	Facility		$326.75	$458.47	$821.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $648.78 / $648.78 / $648.78	Professional		$648.78	$648.78	$648.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $555.29 / $1,019.13 / $1,467.20	Professional		$555.29	$1,019.13	$1,467.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,299.61 / $3,299.61 / $3,299.61	Facility		$3,299.61	$3,299.61	$3,299.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,767.06 / $3,078.30 / $3,879.51	Professional		$1,767.06	$3,078.30	$3,879.51