Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Facility		$13.54	$13.54	$13.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $13.54 / $16.35	Professional		$10.59	$13.54	$16.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $23.82 / $52.66	Professional		$12.92	$23.82	$52.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $14.73 / $31.62	Facility		$10.80	$14.73	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $15.11 / $33.99	Facility		$10.80	$15.11	$33.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $100.58 / $100.58	Professional		$100.58	$100.58	$100.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $55.00 / $70.00	Professional		$49.04	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $14.89 / $32.50	Facility		$10.80	$14.89	$32.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $40.22 / $56.10	Professional		$21.92	$40.22	$56.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.54 / $86.18	Facility		$32.09	$32.54	$86.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $100.58 / $100.58	Professional		$73.22	$100.58	$100.58