Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $25.12	Professional		$16.98	$19.95	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $72.44	Professional		$19.05	$38.90	$72.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $2,454.71	Facility		$18.20	$29.51	$2,454.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $48.98	Facility		$18.20	$22.91	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $58.88 / $70.79	Professional		$10.96	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $81.28	Professional		$31.62	$57.54	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $891.25	Facility		$45.71	$45.71	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $281.84 / $281.84	Professional		$102.33	$281.84	$281.84