Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $118.61	Facility		$118.61	$118.61	$118.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $167.23	Professional		$118.61	$118.61	$167.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $12.31	Professional		$6.80	$6.80	$12.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $213.50	Facility		$118.61	$118.61	$213.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $181.47	Facility		$118.61	$118.61	$181.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $213.50	Facility		$118.61	$118.61	$213.50
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 $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23