Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.86 / $1,078.66 / $1,078.66	Professional		$916.86	$1,078.66	$1,078.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $391.33	Professional		$277.35	$277.35	$391.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $81.00	Facility		$45.00	$45.00	$81.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $81.00 / $90.00	Facility		$45.00	$81.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $81.00	Facility		$45.00	$45.00	$81.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $90.00 / $379.93	Facility		$70.00	$90.00	$379.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $379.93 / $379.93	Professional		$277.35	$379.93	$379.93
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84