Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $28.52 / $28.52	Professional		$11.68	$28.52	$28.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.01 / $4.00	Professional		$2.00	$3.01	$4.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,426.43 / $1,426.43 / $1,426.43	Professional		$1,426.43	$1,426.43	$1,426.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $28.52 / $39.93	Facility		$15.77	$28.52	$39.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $28.52 / $41.51	Facility		$15.77	$28.52	$41.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,975.05 / $1,975.05 / $1,975.05	Professional		$1,975.05	$1,975.05	$1,975.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $28.52 / $39.93	Facility		$15.77	$28.52	$39.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $1,536.15	Facility		$65.00	$65.00	$1,536.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,426.43 / $1,975.05 / $1,975.05	Professional		$1,426.43	$1,975.05	$1,975.05