Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $3.76 / $35.21	Facility		$3.76	$3.76	$35.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.90 / $4.70	Professional		$3.76	$3.90	$4.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $6.18	Professional		$4.00	$4.00	$6.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $4.70 / $4.70	Facility		$3.76	$4.70	$4.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $5.64 / $90.00	Facility		$3.76	$5.64	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.51 / $8.46	Professional		$4.88	$6.51	$8.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $55.00 / $85.00	Professional		$12.81	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $4.70 / $4.70	Facility		$3.76	$4.70	$4.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $85.00 / $90.00	Facility		$70.00	$85.00	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $6.36 / $8.27	Professional		$5.53	$6.36	$8.27