Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $104.71	Professional		$102.33	$104.71	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $104.71	Professional		$50.12	$67.61	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $190.55	Facility		$104.71	$104.71	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $190.55	Facility		$104.71	$104.71	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
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 / $177.83	Facility		$85.11	$85.11	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54