Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $407.38	Professional		$102.33	$128.82	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $467.74	Professional		$117.49	$223.87	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $269.15	Facility		$107.15	$128.82	$269.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $138.04	Professional		$89.13	$89.13	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $269.15	Facility		$107.15	$128.82	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $851.14 / $851.14	Professional		$89.13	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $54.95 / $70.79	Professional		$10.96	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $467.74	Professional		$181.97	$331.13	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,011.87	Facility		$3,467.37	$3,467.37	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $851.14	Professional		$616.60	$851.14	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $275.42	Professional		$213.80	$245.47	$275.42