Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $72.44	Professional		$41.69	$52.48	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $162.18	Professional		$56.23	$77.62	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $100.00	Facility		$42.66	$60.26	$100.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $107.15	Facility		$42.66	$60.26	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Professional		$54.95	$60.26	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $186.21	Professional		$63.10	$125.89	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $891.25	Facility		$102.33	$102.33	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $371.54	Professional		$309.03	$371.54	$371.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Professional		$120.23	$120.23	$144.54