Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.30 / $40.74	Professional		$15.14	$26.30	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.31	Facility		$6.03	$6.03	$6.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $8.32	Facility		$6.03	$6.03	$8.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22