Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $19.02	Facility		$19.02	$19.02	$19.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $19.02 / $20.21	Professional		$19.02	$19.02	$20.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Professional		$19.82	$19.82	$19.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $28.53	Facility		$19.02	$19.02	$28.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.26 / $34.24	Facility		$19.02	$19.26	$34.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $90.36 / $90.36	Professional		$90.36	$90.36	$90.36
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 $19.02 / $19.02 / $28.53	Facility		$19.02	$19.02	$28.53
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 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $90.36 / $90.36	Professional		$25.21	$90.36	$90.36