Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.94 / $211.94 / $211.94	Facility		$211.94	$211.94	$211.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.94 / $232.17 / $348.69	Professional		$211.94	$232.17	$348.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $561.83 / $1,159.16	Professional		$248.11	$561.83	$1,159.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.94 / $267.05 / $532.40	Facility		$211.94	$267.05	$532.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $185.13 / $185.13	Professional		$185.13	$185.13	$185.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.94 / $267.05 / $532.40	Facility		$211.94	$267.05	$532.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.11 / $1,712.50 / $1,712.50	Professional		$406.11	$1,712.50	$1,712.50
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 $211.94 / $267.05 / $532.40	Facility		$211.94	$267.05	$532.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $185.13 / $185.13	Professional		$185.13	$185.13	$185.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.74 / $660.23 / $950.50	Professional		$359.74	$660.23	$950.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,492.08 / $1,492.08 / $1,492.08	Facility		$1,492.08	$1,492.08	$1,492.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,147.91 / $1,271.80 / $1,712.50	Professional		$1,147.91	$1,271.80	$1,712.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $664.91 / $704.03 / $766.61	Professional		$664.91	$704.03	$766.61