Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.08 / $179.08 / $179.08	Facility		$179.08	$179.08	$179.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.08 / $187.65 / $217.21	Professional		$179.08	$187.65	$217.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $391.55 / $945.36	Professional		$133.68	$391.55	$945.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $217.21 / $450.45	Facility		$144.07	$217.21	$450.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Professional		$101.84	$101.84	$101.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $217.21 / $450.45	Facility		$144.07	$217.21	$450.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.52 / $1,328.36 / $1,328.36	Professional		$343.52	$1,328.36	$1,328.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $501.27	Professional		$50.00	$65.00	$501.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $217.21 / $450.45	Facility		$144.07	$217.21	$450.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Professional		$101.84	$101.84	$101.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $304.30 / $558.47 / $804.00	Professional		$304.30	$558.47	$804.00
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 $969.35 / $1,328.36 / $1,328.36	Professional		$969.35	$1,328.36	$1,328.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $241.28 / $255.47 / $278.18	Professional		$241.28	$255.47	$278.18