Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,819.70	Professional		$645.65	$645.65	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $616.60	Professional		$426.58	$457.09	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,584.89	Facility		$645.65	$645.65	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $645.65 / $1,584.89	Facility		$100.00	$645.65	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00