Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $28.18	Professional		$12.88	$15.85	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $64.57	Professional		$19.50	$30.20	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.38 / $29.51	Facility		$13.18	$17.38	$29.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.20 / $30.90	Facility		$13.18	$18.20	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $58.88 / $70.79	Professional		$10.96	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $39.81 / $54.95	Professional		$18.62	$39.81	$54.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $120.23 / $120.23	Facility		$51.29	$120.23	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $120.23	Professional		$112.20	$120.23	$120.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $48.98	Professional		$38.90	$45.71	$48.98