Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.86 / $208.86 / $208.86	Facility		$208.86	$208.86	$208.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.86 / $228.83 / $461.20	Professional		$208.86	$228.83	$461.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $628.32 / $1,368.93	Professional		$316.58	$628.32	$1,368.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.86 / $292.85 / $524.69	Facility		$208.86	$292.85	$524.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $259.30 / $259.30 / $259.30	Professional		$259.30	$259.30	$259.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.86 / $292.85 / $524.69	Facility		$208.86	$292.85	$524.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $1,819.54 / $1,819.54	Professional		$400.29	$1,819.54	$1,819.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,231.36	Professional		$50.00	$58.40	$1,231.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.86 / $292.85 / $524.69	Facility		$208.86	$292.85	$524.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $259.30 / $259.30 / $259.30	Professional		$259.30	$259.30	$259.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.59 / $650.76 / $936.87	Professional		$354.59	$650.76	$936.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,728.65 / $3,728.65 / $3,728.65	Facility		$3,728.65	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,129.32 / $1,567.60 / $1,819.54	Professional		$1,129.32	$1,567.60	$1,819.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $944.18 / $999.72 / $1,088.58	Professional		$944.18	$999.72	$1,088.58