Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $199.53	Facility		$5.01	$5.01	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $10.00	Professional		$5.01	$7.08	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $77.62 / $93.33	Professional		$22.91	$77.62	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $15.14	Facility		$5.25	$7.94	$15.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $18.62	Facility		$5.25	$7.94	$18.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $53.70	Professional		$8.91	$15.85	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $28.84	Professional		$11.22	$19.95	$28.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $70.79 / $70.79	Facility		$19.95	$70.79	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $53.70	Professional		$36.31	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $30.90	Professional		$8.91	$13.49	$30.90