Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $223.87	Professional		$102.33	$120.23	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $501.19	Professional		$158.49	$251.19	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $257.04	Facility		$102.33	$151.36	$257.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $257.04	Facility		$102.33	$144.54	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $891.25 / $891.25	Professional		$120.23	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $446.68	Professional		$173.78	$316.23	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,137.96	Facility		$1,445.44	$1,445.44	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $891.25	Professional		$758.58	$891.25	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $331.13	Professional		$288.40	$302.00	$331.13