Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $575.44	Professional		$275.42	$338.84	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,318.26	Professional		$446.68	$616.60	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $691.83	Facility		$275.42	$407.38	$691.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $691.83	Facility		$275.42	$407.38	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,202.26	Professional		$467.74	$851.14	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $16,595.87	Facility		$11,220.18	$11,220.18	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $2,454.71	Professional		$2,187.76	$2,454.71	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,621.81	Professional		$1,288.25	$1,348.96	$1,621.81