Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Facility		$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $89.46	Professional		$47.06	$47.06	$89.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $116.88 / $116.88	Professional		$116.88	$116.88	$116.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $84.71	Facility		$47.06	$47.06	$84.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $65.88 / $268.66	Facility		$47.06	$65.88	$268.66
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 $47.06 / $47.06 / $84.71	Facility		$47.06	$47.06	$84.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $268.66	Facility		$65.00	$65.00	$268.66