Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $5.68	Professional		$4.00	$4.00	$5.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $145.55	Facility		$93.72	$109.52	$145.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $27.25 / $48.75	Professional		$3.60	$27.25	$48.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $30.00	Facility		$20.00	$20.00	$30.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $36.00	Facility		$20.00	$20.00	$36.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $59.85 / $59.85	Professional		$19.50	$59.85	$59.85
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 $20.00 / $20.00 / $30.00	Facility		$20.00	$20.00	$30.00
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 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $35.28	Professional		$30.60	$30.60	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50