Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $42.64 / $42.64	Professional		$42.64	$42.64	$42.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.75 / $45.00	Facility		$25.00	$25.75	$45.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.75 / $45.00	Facility		$25.00	$25.75	$45.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.75 / $45.00	Facility		$25.00	$25.75	$45.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $45.43 / $45.43	Facility		$45.43	$45.43	$45.43