Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $18.39	Professional		$17.30	$17.30	$18.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $18.39 / $20.55	Professional		$14.80	$18.39	$20.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $25.95	Facility		$17.30	$17.30	$25.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.52 / $31.14	Facility		$17.30	$17.52	$31.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $82.19 / $82.19	Professional		$82.19	$82.19	$82.19
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 $17.30 / $17.30 / $25.95	Facility		$17.30	$17.30	$25.95
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 $18.39 / $22.93 / $82.19	Professional		$18.39	$22.93	$82.19