Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Professional		$19.95	$19.95	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.25	Facility		$5.01	$5.01	$5.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $85.11	Professional		$57.54	$63.10	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $7.08	Facility		$5.01	$5.01	$7.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
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 $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59