Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Facility		$37.76	$37.76	$37.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $40.11	Professional		$37.76	$37.76	$40.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $40.11 / $44.84	Professional		$37.76	$40.11	$44.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $38.22 / $56.26	Facility		$37.76	$38.22	$56.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $38.22 / $57.77	Facility		$37.76	$38.22	$57.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $82.59	Professional		$39.33	$39.33	$82.59
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 $37.76 / $37.76 / $56.26	Facility		$37.76	$37.76	$56.26
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 $40.11 / $80.00 / $177.00	Facility		$40.11	$80.00	$177.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $50.03 / $179.36	Professional		$40.11	$50.03	$179.36
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $53.85	Professional		$39.33	$39.33	$53.85