Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $117.63 / $117.63	Facility		$117.63	$117.63	$117.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $129.33 / $288.87	Professional		$117.63	$129.33	$288.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.63 / $363.52 / $830.77	Professional		$185.63	$363.52	$830.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $165.29 / $296.14	Facility		$117.63	$165.29	$296.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $201.42 / $201.42	Professional		$201.42	$201.42	$201.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $165.29 / $309.51	Facility		$117.63	$165.29	$309.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $1,307.34 / $1,307.34	Professional		$217.86	$1,307.34	$1,307.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $724.26	Professional		$50.00	$58.40	$724.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $165.29 / $296.14	Facility		$117.63	$165.29	$296.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $201.42 / $201.42	Professional		$201.42	$201.42	$201.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $354.17 / $509.88	Professional		$192.98	$354.17	$509.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $978.66 / $978.66 / $978.66	Facility		$978.66	$978.66	$978.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $637.65 / $941.40 / $1,307.34	Professional		$637.65	$941.40	$1,307.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.67 / $542.84 / $591.09	Professional		$512.67	$542.84	$591.09