Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $38.59 / $147.40	Professional		$34.65	$38.59	$147.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $13.87 / $17.91	Professional		$12.61	$13.87	$17.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $125.40 / $125.40	Professional		$9.97	$125.40	$125.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $249.50 / $2,673.50	Facility		$34.65	$249.50	$2,673.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $100.00 / $2,673.50	Facility		$34.65	$100.00	$2,673.50
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 $34.65 / $249.50 / $2,673.50	Facility		$34.65	$249.50	$2,673.50
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 $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40