Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Facility		$15.40	$15.40	$15.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $15.40 / $15.40	Professional		$6.21	$15.40	$15.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $21.06 / $21.06	Professional		$21.06	$21.06	$21.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $27.72	Facility		$15.40	$15.40	$27.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $80.00	Facility		$15.40	$15.40	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $27.72	Facility		$15.40	$15.40	$27.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00