Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $22.79 / $50.82	Facility		$22.79	$22.79	$50.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $23.08 / $24.22	Professional		$22.79	$23.08	$24.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.04 / $6.21	Professional		$3.92	$4.04	$6.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $43.39	Facility		$27.93	$32.64	$43.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $8.08 / $13.13	Professional		$4.04	$8.08	$13.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $22.79 / $31.91	Facility		$8.74	$22.79	$31.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $23.08 / $34.86	Facility		$8.74	$23.08	$34.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $103.73 / $103.73	Professional		$10.75	$103.73	$103.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $22.79 / $33.96	Facility		$8.74	$22.79	$33.96
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 / $85.00 / $103.73	Facility		$65.00	$85.00	$103.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $29.32 / $103.73	Professional		$4.04	$29.32	$103.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50