Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $55.73 / $55.73	Facility		$55.73	$55.73	$55.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $55.73 / $71.25	Professional		$25.06	$55.73	$71.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $73.04 / $241.41	Professional		$25.27	$73.04	$241.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $55.73 / $111.46	Facility		$36.22	$55.73	$111.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $25.09 / $25.09	Professional		$25.09	$25.09	$25.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $55.73 / $111.46	Facility		$31.36	$55.73	$111.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $382.72 / $382.72	Professional		$382.72	$382.72	$382.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $90.82	Professional		$50.00	$60.00	$90.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $55.73 / $124.21	Facility		$31.36	$55.73	$124.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $25.09 / $25.09	Professional		$25.09	$25.09	$25.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $168.01 / $241.88	Professional		$91.55	$168.01	$241.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.87 / $371.87 / $371.87	Facility		$371.87	$371.87	$371.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $382.72 / $382.72	Professional		$302.08	$382.72	$382.72