Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $70.79	Professional		$34.67	$40.74	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $165.96	Professional		$51.29	$89.13	$165.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $51.29 / $89.13	Facility		$35.48	$51.29	$89.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $89.13	Facility		$35.48	$52.48	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $302.00 / $302.00	Professional		$38.90	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $54.95 / $70.79	Professional		$10.96	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $154.88	Professional		$60.26	$109.65	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $302.00	Facility		$83.18	$83.18	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $302.00	Professional		$245.47	$302.00	$302.00