Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.56 / $441.56 / $441.56	Facility		$441.56	$441.56	$441.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $441.56 / $535.57	Professional		$116.40	$441.56	$535.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $699.87 / $2,049.67	Professional		$82.93	$699.87	$2,049.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $535.57 / $1,110.22	Facility		$89.24	$535.57	$1,110.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $46.54 / $46.54	Professional		$46.54	$46.54	$46.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $535.57 / $1,110.22	Facility		$89.24	$535.57	$1,110.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.16 / $3,202.34 / $3,202.34	Professional		$847.16	$3,202.34	$3,202.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $310.66	Professional		$50.00	$58.40	$310.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $535.57 / $1,110.22	Facility		$89.24	$535.57	$1,110.22
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $46.54 / $46.54	Professional		$46.54	$46.54	$46.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $750.43 / $1,377.24 / $1,982.76	Professional		$750.43	$1,377.24	$1,982.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,113.61 / $3,113.61 / $3,113.61	Facility		$3,113.61	$3,113.61	$3,113.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,389.64 / $3,202.34 / $3,202.34	Professional		$2,389.64	$3,202.34	$3,202.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $92.90 / $101.16	Professional		$87.74	$92.90	$101.16