Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $154.88	Professional		$107.15	$128.82	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $218.78 / $478.63	Professional		$85.11	$218.78	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $309.03	Facility		$91.20	$147.91	$309.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $309.03	Facility		$91.20	$134.90	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $912.01 / $912.01	Professional		$64.57	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $537.03	Professional		$208.93	$380.19	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,715.35	Facility		$2,511.89	$2,511.89	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $912.01	Professional		$645.65	$912.01	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $177.83	Professional		$154.88	$162.18	$177.83