Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $122.94 / $122.94	Facility		$122.94	$122.94	$122.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $122.94 / $149.10	Professional		$120.06	$122.94	$149.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $255.01 / $591.61	Professional		$85.53	$255.01	$591.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $149.10 / $309.23	Facility		$92.11	$149.10	$309.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $64.78 / $64.78	Professional		$64.78	$64.78	$64.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $149.10 / $309.23	Facility		$92.11	$149.10	$309.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $902.23 / $902.23	Professional		$235.80	$902.23	$902.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $319.22	Professional		$50.00	$58.40	$319.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $149.10 / $309.23	Facility		$92.11	$149.10	$309.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $64.78 / $64.78	Professional		$64.78	$64.78	$64.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.88 / $383.36 / $551.90	Professional		$208.88	$383.36	$551.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,728.65 / $3,728.65 / $3,728.65	Facility		$3,728.65	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $666.63 / $902.23 / $902.23	Professional		$666.63	$902.23	$902.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $162.58 / $177.03	Professional		$153.54	$162.58	$177.03