Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $19.30 / $24.88	Professional		$18.28	$19.30	$24.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $39.54 / $94.04	Professional		$19.26	$39.54	$94.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $19.45 / $34.15	Facility		$18.28	$19.45	$34.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $22.81 / $48.59	Facility		$18.34	$22.81	$48.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $283.32 / $283.32	Professional		$283.32	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $68.14 / $70.00	Professional		$50.00	$68.14	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $19.45 / $34.15	Facility		$18.28	$19.45	$34.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $57.58 / $82.90	Professional		$31.38	$57.58	$82.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.52 / $46.52 / $885.11	Facility		$46.52	$46.52	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $283.32 / $283.32	Professional		$104.67	$283.32	$283.32