Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.49 / $237.49 / $237.49	Facility		$237.49	$237.49	$237.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.67 / $237.49 / $279.93	Professional		$184.67	$237.49	$279.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.36 / $509.79 / $1,140.28	Professional		$170.36	$509.79	$1,140.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.53 / $288.05 / $596.65	Facility		$183.53	$288.05	$596.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $129.51 / $129.51	Professional		$129.51	$129.51	$129.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.53 / $288.05 / $596.65	Facility		$183.53	$288.05	$596.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.12 / $1,750.16 / $1,750.16	Professional		$455.12	$1,750.16	$1,750.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $637.39	Professional		$50.00	$58.40	$637.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $183.53 / $288.05 / $596.65	Facility		$183.53	$288.05	$596.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $129.51 / $129.51	Professional		$129.51	$129.51	$129.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $403.15 / $739.89 / $1,065.19	Professional		$403.15	$739.89	$1,065.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,672.15 / $1,672.15 / $1,672.15	Facility		$1,672.15	$1,672.15	$1,672.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,284.83 / $1,750.16 / $1,750.16	Professional		$1,284.83	$1,750.16	$1,750.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $492.82 / $536.63	Professional		$465.44	$492.82	$536.63