Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $51.36 / $51.36	Facility		$51.36	$51.36	$51.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $57.50 / $74.17	Professional		$51.36	$57.50	$74.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $120.21 / $250.82	Professional		$53.20	$120.21	$250.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $95.28 / $95.28	Facility		$62.99	$95.28	$95.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $95.28 / $147.27	Professional		$62.75	$95.28	$147.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $62.29 / $131.63	Facility		$51.36	$62.29	$131.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $40.02 / $40.02	Professional		$40.02	$40.02	$40.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $62.29 / $128.51	Facility		$51.36	$62.29	$128.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $402.94 / $402.94	Professional		$98.01	$402.94	$402.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $197.98	Professional		$50.00	$65.00	$197.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $62.29 / $131.63	Facility		$51.36	$62.29	$131.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $40.02 / $40.02	Professional		$40.02	$40.02	$40.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $159.34 / $229.39	Professional		$86.82	$159.34	$229.39
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 $276.80 / $281.14 / $402.94	Professional		$276.80	$281.14	$402.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $83.95 / $83.95	Professional		$83.95	$83.95	$83.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $410.85 / $410.85	Professional		$111.42	$410.85	$410.85