Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $112.06 / $222.06	Professional		$102.18	$112.06	$222.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $306.55 / $631.83	Professional		$152.61	$306.55	$631.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $143.44 / $256.99	Facility		$102.18	$143.44	$256.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $120.40 / $120.40	Professional		$120.40	$120.40	$120.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $143.44 / $256.99	Facility		$102.18	$143.44	$256.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $887.69 / $887.69	Professional		$196.02	$887.69	$887.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $593.98	Professional		$50.00	$65.00	$593.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $143.44 / $256.99	Facility		$102.18	$143.44	$256.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $120.40 / $120.40	Professional		$120.40	$120.40	$120.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $318.68 / $458.78	Professional		$173.64	$318.68	$458.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,141.75 / $2,141.75 / $2,141.75	Facility		$2,141.75	$2,141.75	$2,141.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $552.69 / $755.35 / $887.69	Professional		$552.69	$755.35	$887.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $301.92 / $328.76	Professional		$285.14	$301.92	$328.76