Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $92.88 / $92.88	Facility		$92.88	$92.88	$92.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $101.40 / $132.51	Professional		$92.88	$101.40	$132.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $217.43 / $453.57	Professional		$94.39	$217.43	$453.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $174.11 / $174.11	Facility		$115.06	$174.11	$174.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $174.11 / $269.11	Professional		$114.53	$174.11	$269.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $112.64 / $286.08	Facility		$92.88	$112.64	$286.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $112.64 / $234.52	Facility		$92.88	$112.64	$234.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $728.46 / $728.46	Professional		$179.04	$728.46	$728.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $351.53	Professional		$50.00	$65.00	$351.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $112.64 / $286.08	Facility		$92.88	$112.64	$286.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $291.07 / $419.04	Professional		$158.60	$291.07	$419.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,728.65 / $3,728.65 / $3,728.65	Facility		$3,728.65	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.73 / $728.46 / $728.46	Professional		$503.73	$728.46	$728.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $199.22 / $199.22	Professional		$199.22	$199.22	$199.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $892.83 / $892.83	Professional		$199.22	$892.83	$892.83