Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Professional		$81.00	$81.00	$81.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $41.07 / $58.32	Professional		$6.31	$41.07	$58.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Facility		$81.00	$81.00	$81.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $100.00	Facility		$81.00	$81.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $133.44	Professional		$50.00	$70.00	$133.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Facility		$81.00	$81.00	$81.00
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