Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $38.54 / $71.77	Professional		$35.11	$38.54	$71.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $103.72 / $213.85	Professional		$49.17	$103.72	$213.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $49.30 / $88.32	Facility		$35.11	$49.30	$88.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Professional		$38.86	$38.86	$38.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $49.30 / $88.32	Facility		$35.11	$49.30	$88.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $300.23 / $300.23	Professional		$67.44	$300.23	$300.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $191.92	Professional		$50.00	$58.40	$191.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $49.30 / $88.32	Facility		$35.11	$49.30	$88.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Professional		$38.86	$38.86	$38.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $109.64 / $157.85	Professional		$59.74	$109.64	$157.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $247.97 / $247.97	Facility		$247.97	$247.97	$247.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $248.25 / $300.23	Professional		$190.26	$248.25	$300.23