Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $743.53	Professional		$50.00	$50.00	$743.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,989.67 / $2,325.09 / $3,090.24	Facility		$1,989.67	$2,325.09	$3,090.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $534.38 / $926.25	Professional		$258.52	$534.38	$926.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $675.00	Facility		$450.00	$450.00	$675.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $675.00	Facility		$450.00	$450.00	$675.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $675.00	Facility		$450.00	$450.00	$675.00
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 $258.52 / $258.52 / $258.52	Professional		$258.52	$258.52	$258.52