Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.01 / $279.01 / $279.01	Facility		$279.01	$279.01	$279.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.01 / $306.20 / $820.12	Professional		$279.01	$306.20	$820.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.25 / $920.90 / $2,192.44	Professional		$470.25	$920.90	$2,192.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $279.01 / $391.81 / $702.00	Facility		$279.01	$391.81	$702.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $629.66 / $629.66 / $629.66	Professional		$629.66	$629.66	$629.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.01 / $391.81 / $722.70	Facility		$279.01	$391.81	$722.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $3,763.97 / $3,763.97	Professional		$535.66	$3,763.97	$3,763.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $2,187.98	Professional		$50.00	$65.00	$2,187.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $279.01 / $391.81 / $702.00	Facility		$279.01	$391.81	$702.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $629.66 / $629.66 / $629.66	Professional		$629.66	$629.66	$629.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $474.50 / $870.84 / $1,253.70	Professional		$474.50	$870.84	$1,253.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,202.14 / $3,202.14 / $3,202.14	Facility		$3,202.14	$3,202.14	$3,202.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,508.31 / $2,637.00 / $3,763.97	Professional		$1,508.31	$2,637.00	$3,763.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.54 / $1,859.87 / $2,025.19	Professional		$1,756.54	$1,859.87	$2,025.19