Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.96 / $106.96 / $106.96	Facility		$106.96	$106.96	$106.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $117.33 / $165.42	Professional		$106.96	$117.33	$165.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $269.20 / $548.77	Professional		$117.86	$269.20	$548.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.96 / $129.74 / $269.05	Facility		$106.96	$129.74	$269.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $89.50 / $89.50	Professional		$89.50	$89.50	$89.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.96 / $129.74 / $269.05	Facility		$106.96	$129.74	$269.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.25 / $850.03 / $850.03	Professional		$205.25	$850.03	$850.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $442.97	Professional		$50.00	$65.00	$442.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.96 / $129.74 / $269.05	Facility		$106.96	$129.74	$269.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $89.50 / $89.50	Professional		$89.50	$89.50	$89.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.81 / $333.66 / $480.36	Professional		$181.81	$333.66	$480.36
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 $580.04 / $615.04 / $850.03	Professional		$580.04	$615.04	$850.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $249.80 / $249.80 / $249.80	Professional		$249.80	$249.80	$249.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.33 / $249.80 / $249.80	Professional		$212.33	$249.80	$249.80