Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.80	Professional		$3.02	$3.02	$3.80
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 $3.80 / $3.80 / $5.37	Facility		$3.80	$3.80	$5.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $34.67	Facility		$3.80	$3.80	$34.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
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 $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72