Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.89	Facility		$1.26	$1.26	$1.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $2.27	Facility		$1.26	$1.26	$2.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $77.70 / $77.70	Professional		$77.70	$77.70	$77.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.89	Facility		$1.26	$1.26	$1.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $77.70 / $77.70	Professional		$77.70	$77.70	$77.70