Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $302.00	Professional		$199.53	$251.19	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $426.58 / $933.25	Professional		$169.82	$426.58	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $602.56	Facility		$181.97	$239.88	$602.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $602.56	Facility		$181.97	$263.03	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,737.80 / $1,737.80	Professional		$128.82	$1,737.80	$1,737.80
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 $407.38 / $741.31 / $1,023.29	Professional		$407.38	$741.31	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,737.80	Facility		$562.34	$562.34	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $1,737.80	Professional		$1,258.93	$1,737.80	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $537.03	Professional		$467.74	$489.78	$537.03