Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Facility		$29.74	$29.74	$29.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $37.17	Professional		$29.74	$29.74	$37.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $112.18 / $350.00	Professional		$79.00	$112.18	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.38 / $730.80 / $971.30	Facility		$625.38	$730.80	$971.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $872.98 / $872.98	Professional		$232.88	$872.98	$872.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $44.61	Facility		$29.74	$29.74	$44.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $45.50	Facility		$29.74	$29.74	$45.50
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 $29.74 / $29.74 / $44.61	Facility		$29.74	$29.74	$44.61
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 $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98