Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $85.30 / $85.30	Facility		$85.30	$85.30	$85.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $99.53 / $129.83	Professional		$85.30	$99.53	$129.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $211.28 / $431.24	Professional		$92.49	$211.28	$431.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $103.43 / $214.79	Facility		$85.30	$103.43	$214.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $71.78 / $71.78	Professional		$71.78	$71.78	$71.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $103.43 / $214.79	Facility		$85.30	$103.43	$214.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $677.88 / $677.88	Professional		$164.00	$677.88	$677.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $346.52	Professional		$50.00	$58.40	$346.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $103.43 / $214.79	Facility		$85.30	$103.43	$214.79
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $71.78 / $71.78	Professional		$71.78	$71.78	$71.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.27 / $266.61 / $383.83	Professional		$145.27	$266.61	$383.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,281.80 / $1,281.80 / $1,281.80	Facility		$1,281.80	$1,281.80	$1,281.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.69 / $485.35 / $677.88	Professional		$462.69	$485.35	$677.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.35 / $190.96 / $207.94	Professional		$180.35	$190.96	$207.94