Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $192.80 / $17,823.00	Facility		$192.80	$192.80	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $211.63 / $649.54	Professional		$192.80	$211.63	$649.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.17 / $668.43 / $1,592.28	Professional		$341.17	$668.43	$1,592.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $270.80 / $497.85	Facility		$192.80	$270.80	$497.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $453.60 / $453.60	Professional		$453.60	$453.60	$453.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $270.80 / $499.49	Facility		$192.80	$270.80	$499.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.20 / $2,713.22 / $2,713.22	Professional		$370.20	$2,713.22	$2,713.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,733.69	Professional		$50.00	$58.40	$1,733.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $270.80 / $497.85	Facility		$192.80	$270.80	$497.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $453.60 / $453.60	Professional		$453.60	$453.60	$453.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $327.94 / $601.85 / $866.46	Professional		$327.94	$601.85	$866.46
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 $1,044.18 / $2,040.05 / $2,713.22	Professional		$1,044.18	$2,040.05	$2,713.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.81 / $1,138.03 / $1,239.19	Professional		$1,074.81	$1,138.03	$1,239.19