Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $20.38 / $20.38	Facility		$20.38	$20.38	$20.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $21.66	Professional		$20.38	$20.38	$21.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $20.38 / $30.57	Facility		$20.38	$20.38	$30.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $20.64 / $36.68	Facility		$20.38	$20.64	$36.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $96.82 / $96.82	Professional		$96.82	$96.82	$96.82
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 $20.38 / $20.38 / $30.57	Facility		$20.38	$20.38	$30.57
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 $27.01 / $96.82 / $96.82	Professional		$27.01	$96.82	$96.82