Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $76.02	Facility		$37.15	$37.15	$76.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $37.15 / $37.15	Professional		$19.20	$37.15	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.55 / $18.05	Professional		$5.32	$7.55	$18.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $45.29	Professional		$19.36	$19.36	$45.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $37.15 / $56.85	Facility		$21.15	$37.15	$56.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $37.15 / $66.89	Facility		$21.15	$37.15	$66.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $37.15 / $56.85	Facility		$21.15	$37.15	$56.85
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 $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36