Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $85.00	Professional		$80.00	$80.00	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $85.00 / $95.00	Professional		$80.00	$85.00	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $81.00 / $119.20	Facility		$80.00	$81.00	$119.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $81.00 / $120.00	Facility		$80.00	$81.00	$120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $337.93	Professional		$160.91	$160.91	$337.93
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 $80.00 / $80.00 / $119.20	Facility		$80.00	$80.00	$119.20
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 $85.00 / $100.00 / $375.00	Facility		$85.00	$100.00	$375.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $106.00 / $380.00	Professional		$85.00	$106.00	$380.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $202.76	Professional		$160.91	$160.91	$202.76