Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.02 / $20.02	Facility		$20.02	$20.02	$20.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.02 / $21.27	Professional		$20.02	$20.02	$21.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $21.27 / $23.77	Professional		$20.85	$21.27	$23.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.27 / $29.83	Facility		$20.02	$20.27	$29.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.27 / $30.63	Facility		$20.02	$20.27	$30.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $27.92	Professional		$21.48	$21.48	$27.92
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 $20.02 / $20.02 / $29.83	Facility		$20.02	$20.02	$29.83
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 $60.00 / $93.83 / $100.00	Facility		$60.00	$93.83	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $31.91	Professional		$21.27	$21.27	$31.91
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $26.85	Professional		$21.48	$21.48	$26.85