Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $42.59 / $42.59	Facility		$42.59	$42.59	$42.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $45.25	Professional		$42.59	$42.59	$45.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $5.33 / $42.59	Professional		$2.37	$5.33	$42.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $42.59 / $63.46	Facility		$42.59	$42.59	$63.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $43.12 / $65.16	Facility		$42.59	$43.12	$65.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $136.72	Professional		$44.36	$44.36	$136.72
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 $42.59 / $42.59 / $63.46	Facility		$42.59	$42.59	$63.46
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 $45.25 / $80.00 / $134.93	Facility		$45.25	$80.00	$134.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $47.92 / $136.72	Professional		$45.25	$47.92	$136.72
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $57.67	Professional		$44.36	$44.36	$57.67