Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $28.18 / $28.84	Professional		$10.96	$28.18	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.55 / $5.37	Professional		$2.00	$3.55	$5.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $39.81	Facility		$11.75	$28.84	$39.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $25.70	Professional		$17.38	$19.50	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $41.69	Facility		$11.75	$28.84	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
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 $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26