Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $171.52 / $171.52	Facility		$171.52	$171.52	$171.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $171.52 / $182.24	Professional		$171.52	$171.52	$182.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $182.24 / $203.68	Professional		$154.90	$182.24	$203.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $171.52 / $257.27	Facility		$171.52	$171.52	$257.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $173.66 / $257.27	Facility		$171.52	$173.66	$257.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $814.72 / $814.72 / $814.72	Professional		$814.72	$814.72	$814.72
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 $171.52 / $171.52 / $257.27	Facility		$171.52	$171.52	$257.27
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 $182.24 / $203.68 / $804.00	Facility		$182.24	$203.68	$804.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $227.26 / $814.72	Professional		$182.24	$227.26	$814.72