Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $157.00 / $157.00	Professional		$8.00	$157.00	$157.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $22.10 / $31.38	Professional		$10.73	$22.10	$31.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $106.36 / $141.36	Facility		$91.01	$106.36	$141.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $33.75 / $42.86	Professional		$24.99	$33.75	$42.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $240.21	Facility		$157.00	$157.00	$240.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $157.00 / $240.21	Facility		$15.70	$157.00	$240.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.05 / $242.05 / $242.05	Professional		$242.05	$242.05	$242.05
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 $157.00 / $157.00 / $240.21	Facility		$157.00	$157.00	$240.21
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 $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99