Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $65.31 / $98.00	Professional		$46.00	$65.31	$98.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.16 / $722.38 / $960.10	Facility		$618.16	$722.38	$960.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $187.74 / $287.81	Professional		$93.87	$187.74	$287.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $3.05	Facility		$2.02	$2.02	$3.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $3.65	Facility		$2.02	$2.02	$3.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $108.93 / $108.93	Professional		$108.93	$108.93	$108.93
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 $2.02 / $2.02 / $3.05	Facility		$2.02	$2.02	$3.05
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 / $174.25	Facility		$65.00	$100.00	$174.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87