Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $223.87	Professional		$1.29	$1.29	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $4.27	Facility		$3.98	$3.98	$4.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $13.18	Professional		$8.91	$10.00	$13.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $5.62	Facility		$3.98	$3.98	$5.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
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 $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76