Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $5.66 / $5.66	Facility		$5.66	$5.66	$5.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $50.78	Professional		$5.66	$5.66	$50.78
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 $5.66 / $5.66 / $25.00	Facility		$5.66	$5.66	$25.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $5.66 / $25.00	Facility		$5.66	$5.66	$25.00
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 $5.66 / $5.66 / $25.00	Facility		$5.66	$5.66	$25.00
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