Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $200.00 / $200.00	Facility		$5.29	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.29 / $8.60	Professional		$4.79	$5.29	$8.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $92.30 / $94.14	Professional		$22.74	$92.30	$94.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $7.78 / $12.22	Facility		$5.29	$7.78	$12.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $7.94 / $18.53	Facility		$5.29	$7.94	$18.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $21.39 / $54.23	Professional		$9.42	$21.39	$54.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $7.87 / $12.22	Facility		$5.29	$7.87	$12.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $20.05 / $28.60	Professional		$14.04	$20.05	$28.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $70.00 / $70.00	Facility		$20.88	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $54.23 / $54.23	Professional		$37.26	$54.23	$54.23
United Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $14.14 / $14.14	Facility		$14.14	$14.14	$14.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $20.41 / $37.56	Professional		$9.02	$20.41	$37.56