Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $282.07 / $282.07	Facility		$282.07	$282.07	$282.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $309.26 / $563.66	Professional		$282.07	$309.26	$563.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.87 / $795.00 / $1,701.46	Professional		$386.87	$795.00	$1,701.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $395.75 / $709.05	Facility		$282.07	$395.75	$709.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $317.30 / $317.30 / $317.30	Professional		$317.30	$317.30	$317.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $395.75 / $709.05	Facility		$282.07	$395.75	$709.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $2,390.37 / $2,390.37	Professional		$540.99	$2,390.37	$2,390.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,504.82	Professional		$50.00	$58.40	$1,504.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $395.75 / $709.05	Facility		$282.07	$395.75	$709.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $317.30 / $317.30 / $317.30	Professional		$317.30	$317.30	$317.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $479.23 / $879.51 / $1,266.19	Professional		$479.23	$879.51	$1,266.19
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 $1,526.90 / $1,957.90 / $2,390.37	Professional		$1,526.90	$1,957.90	$2,390.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $452.14 / $478.74 / $521.29	Professional		$452.14	$478.74	$521.29