Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $38.14	Facility		$20.00	$20.00	$38.14
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 $12.46 / $14.66 / $20.82	Professional		$12.46	$14.66	$20.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $379.09 / $503.84	Facility		$324.39	$379.09	$503.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $28.91 / $28.91	Professional		$18.38	$28.91	$28.91
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 / $36.00	Facility		$20.00	$20.00	$36.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Professional		$22.50	$22.50	$22.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
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 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91