Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Facility		$1.21	$1.21	$1.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.42	Professional		$1.21	$1.21	$1.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $98.39 / $139.71	Professional		$39.36	$98.39	$139.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.85	Facility		$1.21	$1.21	$1.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $2.18	Facility		$1.21	$1.21	$2.18
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 $1.21 / $1.21 / $1.85	Facility		$1.21	$1.21	$1.85
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