Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $346.74	Professional		$204.17	$245.47	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $912.01	Professional		$245.47	$457.09	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $537.03	Facility		$213.80	$269.15	$537.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $537.03	Facility		$213.80	$269.15	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,698.24 / $1,698.24	Professional		$186.21	$1,698.24	$1,698.24
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 $363.08 / $660.69 / $933.25	Professional		$363.08	$660.69	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,698.24	Facility		$501.19	$501.19	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $1,698.24	Professional		$1,258.93	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $758.58	Professional		$660.69	$707.95	$758.58