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 / $107.62 / $139.09	Professional		$92.88	$107.62	$139.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $226.38 / $463.64	Professional		$99.45	$226.38	$463.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $112.64 / $234.52	Facility		$92.88	$112.64	$234.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $75.62 / $75.62	Professional		$75.62	$75.62	$75.62
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 / $738.66 / $738.66	Professional		$179.04	$738.66	$738.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $372.51	Professional		$50.00	$65.00	$372.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $112.64 / $234.52	Facility		$92.88	$112.64	$234.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $75.62 / $75.62	Professional		$75.62	$75.62	$75.62
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 $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 $503.73 / $521.75 / $738.66	Professional		$503.73	$521.75	$738.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $210.57 / $210.57 / $210.57	Professional		$210.57	$210.57	$210.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $210.57 / $210.57	Professional		$178.98	$210.57	$210.57