Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $96.00	Facility		$50.38	$50.38	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $38.88	Professional		$25.50	$25.50	$38.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Facility		$50.38	$50.38	$50.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $76.00	Facility		$50.38	$50.38	$76.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $57.48 / $57.48	Professional		$57.48	$57.48	$57.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Facility		$50.38	$50.38	$50.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $76.00	Facility		$65.00	$65.00	$76.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $57.48 / $57.48	Professional		$57.48	$57.48	$57.48