Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $1,820.00	Professional		$640.00	$640.00	$1,820.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $424.92 / $603.39	Professional		$6.26	$424.92	$603.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,152.00	Facility		$640.00	$640.00	$1,152.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,152.00	Facility		$640.00	$640.00	$1,152.00
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 $640.00 / $640.00 / $1,152.00	Facility		$640.00	$640.00	$1,152.00
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