Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $130.52 / $130.52	Facility		$130.52	$130.52	$130.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $143.13 / $171.55	Professional		$130.52	$143.13	$171.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $300.11 / $627.86	Professional		$122.22	$300.11	$627.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $158.30 / $328.31	Facility		$130.52	$158.30	$328.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $92.73 / $92.73	Professional		$92.73	$92.73	$92.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $158.30 / $328.31	Facility		$130.52	$158.30	$328.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.37 / $1,009.33 / $1,009.33	Professional		$250.37	$1,009.33	$1,009.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $457.85	Professional		$50.00	$58.40	$457.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $158.30 / $328.31	Facility		$130.52	$158.30	$328.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $92.73 / $92.73	Professional		$92.73	$92.73	$92.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.78 / $407.02 / $585.97	Professional		$221.78	$407.02	$585.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $919.62 / $919.62	Facility		$919.62	$919.62	$919.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $706.19 / $1,009.33 / $1,009.33	Professional		$706.19	$1,009.33	$1,009.33