Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Facility		$18.23	$18.23	$18.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $19.38	Professional		$18.23	$18.23	$19.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $27.36	Facility		$18.23	$18.23	$27.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.47 / $32.83	Facility		$18.23	$18.47	$32.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $86.64 / $86.64	Professional		$86.64	$86.64	$86.64
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 $18.23 / $18.23 / $27.36	Facility		$18.23	$18.23	$27.36
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 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.17 / $86.64	Professional		$19.38	$24.17	$86.64