Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.42 / $232.42 / $17,823.00	Facility		$232.42	$232.42	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $254.64 / $324.52	Professional		$232.42	$254.64	$324.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $541.19 / $1,128.06	Professional		$231.24	$541.19	$1,128.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.42 / $281.89 / $583.94	Facility		$232.42	$281.89	$583.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $175.74 / $175.74	Professional		$175.74	$175.74	$175.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.42 / $281.89 / $583.94	Facility		$232.42	$281.89	$583.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.41 / $1,813.11 / $1,813.11	Professional		$445.41	$1,813.11	$1,813.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $866.23	Professional		$50.00	$58.40	$866.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $232.42 / $281.89 / $583.94	Facility		$232.42	$281.89	$583.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $175.74 / $175.74	Professional		$175.74	$175.74	$175.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.56 / $724.12 / $1,042.48	Professional		$394.56	$724.12	$1,042.48
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 $1,258.88 / $1,813.11 / $1,813.11	Professional		$1,258.88	$1,813.11	$1,813.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $490.31 / $490.31 / $490.31	Professional		$490.31	$490.31	$490.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.76 / $490.31 / $490.31	Professional		$416.76	$490.31	$490.31