Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.57 / $46.57 / $46.57	Facility		$46.57	$46.57	$46.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $50.77 / $56.47	Professional		$46.57	$50.77	$56.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $107.55 / $224.41	Professional		$39.99	$107.55	$224.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $56.47 / $116.47	Facility		$43.02	$56.47	$116.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $30.63 / $30.63	Professional		$30.63	$30.63	$30.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $56.47 / $116.47	Facility		$43.02	$56.47	$116.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $352.42 / $352.42	Professional		$88.79	$352.42	$352.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $149.74	Professional		$50.00	$65.00	$149.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $56.47 / $116.47	Facility		$43.02	$56.47	$116.47
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $30.63 / $30.63	Professional		$30.63	$30.63	$30.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $144.35 / $207.81	Professional		$78.65	$144.35	$207.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,062.89 / $5,062.89 / $5,062.89	Facility		$5,062.89	$5,062.89	$5,062.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.86 / $352.42 / $352.42	Professional		$252.86	$352.42	$352.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $76.98 / $83.82	Professional		$72.70	$76.98	$83.82