Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $126.41 / $126.41	Professional		$107.44	$126.41	$126.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $72.00	Facility		$40.00	$40.00	$72.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $60.00 / $90.00	Facility		$40.00	$60.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,009.05 / $1,009.05 / $1,009.05	Professional		$1,009.05	$1,009.05	$1,009.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $72.00	Facility		$40.00	$40.00	$72.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $90.00	Facility		$70.00	$70.00	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.05 / $1,009.05 / $1,009.05	Professional		$1,009.05	$1,009.05	$1,009.05