Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.04 / $2.94	Professional		$1.66	$2.04	$2.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.17 / $5.42	Professional		$3.13	$4.17	$5.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $90.00	Professional		$50.00	$65.00	$90.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $95.00	Facility		$65.00	$65.00	$95.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.17 / $5.00	Professional		$3.54	$4.17	$5.00