Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Facility		$104.69	$104.69	$104.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $104.69 / $690.00	Professional		$102.23	$104.69	$690.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $104.69 / $104.69	Professional		$32.28	$104.69	$104.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $160.18	Facility		$104.69	$104.69	$160.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $690.00	Facility		$104.69	$104.69	$690.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Professional		$270.97	$270.97	$270.97
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 $104.69 / $104.69 / $160.18	Facility		$104.69	$104.69	$160.18
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 / $105.93 / $178.60	Facility		$65.00	$105.93	$178.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Professional		$270.97	$270.97	$270.97