Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.72 / $150.00	Professional		$16.00	$22.72	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,359.79 / $1,589.02 / $2,111.94	Facility		$1,359.79	$1,589.02	$2,111.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $181.59 / $632.80	Professional		$90.80	$181.59	$632.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $135.00	Facility		$90.00	$90.00	$135.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $135.00	Facility		$90.00	$90.00	$135.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $143.65 / $143.65	Professional		$143.65	$143.65	$143.65
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 $90.00 / $90.00 / $135.00	Facility		$90.00	$90.00	$135.00
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 / $254.05	Facility		$65.00	$100.00	$254.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80