Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.32	Professional		$1.00	$1.00	$1.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.59	Professional		$8.13	$8.13	$12.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $2.24	Facility		$1.32	$1.32	$2.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $13.49	Professional		$8.91	$10.00	$13.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $100.00	Facility		$1.32	$1.32	$100.00
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 $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04