Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.83 / $176.83 / $176.83	Facility		$176.83	$176.83	$176.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $176.83 / $208.37	Professional		$73.12	$176.83	$208.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $298.35 / $849.89	Professional		$73.03	$298.35	$849.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $214.47 / $444.32	Facility		$78.58	$214.47	$444.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $40.58 / $40.58	Professional		$40.58	$40.58	$40.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $214.47 / $444.32	Facility		$78.58	$214.47	$444.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.15 / $1,283.58 / $1,283.58	Professional		$339.15	$1,283.58	$1,283.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $273.45	Professional		$50.00	$65.00	$273.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $214.47 / $444.32	Facility		$78.58	$214.47	$444.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $40.58 / $40.58	Professional		$40.58	$40.58	$40.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $551.37 / $793.78	Professional		$300.43	$551.37	$793.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,246.93 / $1,246.93 / $1,246.93	Facility		$1,246.93	$1,246.93	$1,246.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $957.65 / $1,283.58 / $1,283.58	Professional		$957.65	$1,283.58	$1,283.58