Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Facility		$1.31	$1.31	$1.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $2.23	Professional		$1.31	$1.31	$2.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $11.50	Professional		$8.10	$8.10	$11.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $2.00	Facility		$1.31	$1.31	$2.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $2.36	Facility		$1.31	$1.31	$2.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $2.00	Facility		$1.31	$1.31	$2.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04