Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $58.12 / $58.12	Facility		$58.12	$58.12	$58.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $63.79 / $82.00	Professional		$58.12	$63.79	$82.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $143.94 / $323.64	Professional		$58.41	$143.94	$323.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $70.50 / $146.19	Facility		$58.12	$70.50	$146.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $30.63 / $30.63	Professional		$30.63	$30.63	$30.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $70.50 / $146.19	Facility		$58.12	$70.50	$146.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $621.45 / $621.45	Professional		$111.60	$621.45	$621.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $218.96	Professional		$50.00	$65.00	$218.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $70.50 / $146.19	Facility		$58.12	$70.50	$146.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $30.63 / $30.63	Professional		$30.63	$30.63	$30.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $181.42 / $261.19	Professional		$98.85	$181.42	$261.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $410.31 / $410.31 / $410.31	Facility		$410.31	$410.31	$410.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $621.45 / $621.45	Professional		$314.95	$621.45	$621.45