Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Facility		$138.91	$138.91	$138.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $138.91 / $138.91	Professional		$127.74	$138.91	$138.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.28 / $58.62	Professional		$37.15	$41.28	$58.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $208.38	Facility		$138.91	$138.91	$208.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $138.91 / $208.38	Facility		$127.74	$138.91	$208.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $208.38	Facility		$138.91	$138.91	$208.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00