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 $30.92 / $32.70 / $46.43	Professional		$30.92	$32.70	$46.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $190.60 / $253.32	Facility		$163.10	$190.60	$253.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $37.40 / $84.84	Professional		$18.70	$37.40	$84.84
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 / $147.62	Facility		$20.00	$20.00	$147.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $71.06 / $71.06	Professional		$61.00	$71.06	$71.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $266.44	Professional		$50.00	$70.00	$266.44
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 / $100.00 / $170.00	Facility		$65.00	$100.00	$170.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70