Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $89.00 / $126.38	Professional		$71.20	$89.00	$126.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $41.99	Facility		$27.03	$31.59	$41.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.66 / $20.16	Professional		$10.13	$12.66	$20.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $86.51	Facility		$57.67	$57.67	$86.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $100.00	Facility		$57.67	$57.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $83.89 / $139.81	Professional		$62.92	$83.89	$139.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $58.40 / $85.00	Professional		$2.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $86.51	Facility		$57.67	$57.67	$86.51
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 / $117.00	Facility		$65.00	$65.00	$117.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $634.28 / $634.28	Professional		$20.16	$634.28	$634.28
United Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $83.89 / $139.81	Professional		$55.92	$83.89	$139.81