Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $64.76 / $64.76	Facility		$64.76	$64.76	$64.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $64.76 / $68.81	Professional		$64.76	$64.76	$68.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $39.64 / $61.95	Professional		$13.63	$39.64	$61.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $64.76 / $97.14	Facility		$64.76	$64.76	$97.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $65.56 / $97.14	Facility		$64.76	$65.56	$97.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.32 / $325.32 / $325.32	Professional		$325.32	$325.32	$325.32
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 $64.76 / $64.76 / $97.14	Facility		$64.76	$64.76	$97.14
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 $68.81 / $85.00 / $321.04	Facility		$68.81	$85.00	$321.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $81.30 / $325.32	Professional		$68.81	$81.30	$325.32