Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $41.07 / $58.32	Professional		$13.69	$41.07	$58.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $358.00 / $358.00	Facility		$100.00	$358.00	$358.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $515.05	Professional		$50.00	$70.00	$515.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
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