Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $63.28 / $69.29	Facility		$63.28	$63.28	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $69.29	Professional		$63.28	$69.29	$69.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $49.56 / $53.88	Professional		$42.78	$49.56	$53.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $79.09	Facility		$63.28	$69.29	$79.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $82.26	Facility		$63.28	$69.29	$82.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $127.05	Professional		$50.00	$65.00	$127.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $82.26	Facility		$63.28	$69.29	$82.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Facility		$127.68	$127.68	$127.68