Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Facility		$26.00	$26.00	$26.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $65.00	Professional		$26.00	$26.00	$65.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $98.39 / $139.71	Professional		$6.26	$98.39	$139.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $39.78	Facility		$26.00	$26.00	$39.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $65.00	Facility		$26.00	$26.00	$65.00
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 $26.00 / $26.00 / $46.80	Facility		$26.00	$26.00	$46.80
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