Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $13.33 / $13.33	Facility		$13.33	$13.33	$13.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.24 / $21.55	Professional		$13.33	$15.24	$21.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $29.87 / $76.61	Professional		$19.64	$29.87	$76.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $15.90 / $30.60	Facility		$13.33	$15.90	$30.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $15.53 / $15.53	Professional		$15.53	$15.53	$15.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $16.13 / $29.45	Facility		$13.33	$16.13	$29.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $119.84 / $119.84	Professional		$119.84	$119.84	$119.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $87.12	Professional		$50.00	$65.00	$87.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $15.90 / $30.60	Facility		$13.33	$15.90	$30.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $15.53 / $15.53	Professional		$15.53	$15.53	$15.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $39.44 / $56.78	Professional		$21.49	$39.44	$56.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $111.55 / $119.84	Professional		$72.27	$111.55	$119.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $45.89 / $45.89	Professional		$45.89	$45.89	$45.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $45.89 / $45.92	Professional		$39.01	$45.89	$45.92