Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $87.67 / $287.52	Professional		$35.20	$87.67	$287.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $65.75 / $131.50	Facility		$50.47	$65.75	$131.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $18.94 / $18.94	Professional		$18.94	$18.94	$18.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $65.75 / $131.50	Facility		$42.74	$65.75	$131.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.63 / $455.63 / $455.63	Professional		$455.63	$455.63	$455.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $126.43	Professional		$50.00	$65.00	$126.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $65.75 / $147.81	Facility		$42.74	$65.75	$147.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $18.94 / $18.94	Professional		$18.94	$18.94	$18.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $197.20 / $283.89	Professional		$107.45	$197.20	$283.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.03 / $436.03 / $436.03	Facility		$436.03	$436.03	$436.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.96 / $455.63 / $455.63	Professional		$354.96	$455.63	$455.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $51.14 / $61.34	Professional		$48.30	$51.14	$61.34