Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $96.80 / $96.80	Facility		$96.80	$96.80	$96.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $96.80 / $102.85	Professional		$96.80	$96.80	$102.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $110.00 / $110.00	Professional		$102.85	$110.00	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $96.80 / $135.52	Facility		$0.08	$96.80	$135.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $98.01 / $242.00	Facility		$0.08	$98.01	$242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $231.00	Professional		$110.00	$110.00	$231.00
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 $0.08 / $96.80 / $135.52	Facility		$0.08	$96.80	$135.52
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 $102.85 / $145.44 / $453.75	Facility		$102.85	$145.44	$453.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $128.26 / $459.80	Professional		$102.85	$128.26	$459.80
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $143.00	Professional		$110.00	$110.00	$143.00