Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Facility		$16.27	$16.27	$16.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $17.29	Professional		$16.27	$16.27	$17.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Professional		$16.95	$16.95	$16.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.27 / $24.41	Facility		$16.27	$16.27	$24.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.48 / $29.29	Facility		$16.27	$16.48	$29.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $77.29 / $77.29	Professional		$77.29	$77.29	$77.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $61.53 / $70.00	Professional		$50.00	$61.53	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.27 / $24.41	Facility		$16.27	$16.27	$24.41
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 / $80.00 / $85.00	Facility		$65.00	$80.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $21.56 / $77.29	Professional		$17.29	$21.56	$77.29