Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Facility		$104.40	$104.40	$104.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Professional		$104.40	$104.40	$104.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Professional		$112.22	$112.22	$112.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $187.92	Facility		$104.40	$104.40	$187.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $104.40 / $187.92	Facility		$80.00	$104.40	$187.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $58.40 / $80.69	Professional		$48.41	$58.40	$80.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $187.92	Facility		$104.40	$104.40	$187.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00