Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $35.92 / $61.21	Professional		$33.72	$35.92	$61.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $92.74 / $197.24	Professional		$41.39	$92.74	$197.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $43.09 / $84.90	Facility		$33.72	$43.09	$84.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $35.89	Professional		$35.89	$35.89	$35.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $43.09 / $84.90	Facility		$33.72	$43.09	$84.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $283.32 / $283.32	Professional		$62.60	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $153.44	Professional		$50.00	$58.40	$153.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $43.09 / $84.90	Facility		$33.72	$43.09	$84.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $35.89	Professional		$35.89	$35.89	$35.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $101.76 / $146.49	Professional		$55.44	$101.76	$146.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $885.11 / $885.11 / $885.11	Facility		$885.11	$885.11	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $215.60 / $283.32	Professional		$182.84	$215.60	$283.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $96.37 / $104.94	Professional		$91.02	$96.37	$104.94