Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $28.84	Facility		$19.05	$19.05	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.42 / $79.43	Facility		$19.05	$20.42	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $70.79	Professional		$54.95	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $107.15 / $107.15	Professional		$25.12	$107.15	$107.15