Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $176.54 / $176.54	Facility		$176.54	$176.54	$176.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $176.54 / $187.57	Professional		$176.54	$176.54	$187.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.50 / $305.06 / $316.41	Facility		$262.50	$305.06	$316.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $163.60 / $177.29	Professional		$139.06	$163.60	$177.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $154.41 / $282.45	Facility		$74.28	$154.41	$282.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $176.54 / $264.81	Facility		$176.54	$176.54	$264.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $178.74 / $803.40	Facility		$176.54	$178.74	$803.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $790.40 / $790.40 / $790.40	Professional		$790.40	$790.40	$790.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $569.33	Professional		$50.00	$70.00	$569.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $176.54 / $264.81	Facility		$176.54	$176.54	$264.81
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 $203.53 / $379.29 / $803.40	Facility		$203.53	$379.29	$803.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $227.09 / $790.40	Professional		$187.57	$227.09	$790.40