Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.16 / $244.16 / $244.16	Facility		$244.16	$244.16	$244.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.16 / $267.66 / $341.60	Professional		$244.16	$267.66	$341.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $603.35 / $1,356.44	Professional		$243.39	$603.35	$1,356.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $244.16 / $296.11 / $613.66	Facility		$244.16	$296.11	$613.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $203.69 / $203.69	Professional		$203.69	$203.69	$203.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.16 / $296.11 / $613.66	Facility		$244.16	$296.11	$613.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.21 / $1,905.62 / $1,905.62	Professional		$468.21	$1,905.62	$1,905.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $912.15	Professional		$50.00	$65.00	$912.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $244.16 / $296.11 / $613.66	Facility		$244.16	$296.11	$613.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $203.69 / $203.69	Professional		$203.69	$203.69	$203.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $414.76 / $761.19 / $1,095.84	Professional		$414.76	$761.19	$1,095.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,720.72 / $1,720.72 / $1,720.72	Facility		$1,720.72	$1,720.72	$1,720.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,320.98 / $1,905.62 / $1,905.62	Professional		$1,320.98	$1,905.62	$1,905.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $482.57 / $510.96 / $556.38	Professional		$482.57	$510.96	$556.38