Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $79.52 / $124.00	Professional		$56.00	$79.52	$124.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.34 / $1,167.81 / $1,552.12	Facility		$999.34	$1,167.81	$1,552.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $197.99 / $465.00	Professional		$99.00	$197.99	$465.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $4.22	Facility		$2.81	$2.81	$4.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $5.05	Facility		$2.81	$2.81	$5.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $108.32 / $108.32	Professional		$108.32	$108.32	$108.32
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 $2.81 / $2.81 / $4.22	Facility		$2.81	$2.81	$4.22
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 / $78.88 / $100.00	Facility		$65.00	$78.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00