Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $17.63 / $17.63	Facility		$17.63	$17.63	$17.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.97 / $20.72	Professional		$11.66	$16.97	$20.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $27.56 / $54.05	Professional		$13.26	$27.56	$54.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $20.39 / $31.73	Facility		$13.43	$20.39	$31.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Professional		$17.73	$17.73	$17.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $20.98 / $37.36	Facility		$12.79	$20.98	$37.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $120.20 / $120.20	Professional		$120.20	$120.20	$120.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $20.39 / $32.51	Facility		$14.74	$20.39	$32.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Professional		$17.73	$17.73	$17.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $52.06 / $72.59	Professional		$28.37	$52.06	$72.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $42.46 / $114.73	Facility		$41.25	$42.46	$114.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $120.20 / $120.20	Professional		$95.54	$120.20	$120.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $51.09 / $61.30	Professional		$51.09	$51.09	$61.30