Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Facility		$26.09	$26.09	$26.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $28.58 / $40.74	Professional		$26.09	$28.58	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $66.34 / $135.32	Professional		$29.02	$66.34	$135.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $31.64 / $65.59	Facility		$26.09	$31.64	$65.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $31.64 / $65.59	Facility		$26.09	$31.64	$65.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $209.82 / $209.82	Professional		$49.98	$209.82	$209.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $108.83	Professional		$50.00	$58.40	$108.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $31.64 / $65.59	Facility		$26.09	$31.64	$65.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $81.25 / $116.97	Professional		$44.27	$81.25	$116.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.45 / $183.45 / $183.45	Facility		$183.45	$183.45	$183.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $151.40 / $209.82	Professional		$139.86	$151.40	$209.82