Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $23.30 / $23.30	Facility		$23.30	$23.30	$23.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $24.99 / $30.04	Professional		$23.30	$24.99	$30.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $55.59 / $140.60	Professional		$31.04	$55.59	$140.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $31.99 / $54.58	Facility		$21.99	$31.99	$54.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $24.62 / $24.62	Professional		$24.62	$24.62	$24.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $32.75 / $61.92	Facility		$23.30	$32.75	$61.92
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 / $58.40 / $121.71	Professional		$50.00	$58.40	$121.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $29.02 / $54.58	Facility		$21.99	$29.02	$54.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $24.62 / $24.62	Professional		$24.62	$24.62	$24.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $69.41 / $99.93	Professional		$37.82	$69.41	$99.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $885.11 / $885.11	Facility		$56.16	$885.11	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $283.32 / $283.32	Professional		$126.36	$283.32	$283.32