Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $344.00 / $344.00	Professional		$344.00	$344.00	$344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.72 / $1.72	Professional		$1.46	$1.72	$1.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $344.00 / $344.00	Facility		$344.00	$344.00	$344.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $344.00 / $344.00	Facility		$100.00	$344.00	$344.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $344.00 / $344.00	Facility		$344.00	$344.00	$344.00
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
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00