Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $61.06 / $95.00	Professional		$43.00	$61.06	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $222.74	Professional		$111.37	$111.37	$222.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $150.00	Facility		$100.00	$100.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $150.00	Facility		$100.00	$100.00	$150.00
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 $100.00 / $100.00 / $150.00	Facility		$100.00	$100.00	$150.00
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 / $100.00 / $102.76	Facility		$65.00	$100.00	$102.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37