Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $105.46 / $105.46	Facility		$105.46	$105.46	$105.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $105.46 / $112.05	Professional		$105.46	$105.46	$112.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $68.94 / $91.89	Professional		$28.50	$68.94	$91.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Facility		$112.05	$112.05	$112.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $105.46 / $158.19	Facility		$105.46	$105.46	$158.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $106.77 / $158.19	Facility		$105.46	$106.77	$158.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.29 / $486.29 / $486.29	Professional		$486.29	$486.29	$486.29
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 $105.46 / $105.46 / $158.19	Facility		$105.46	$105.46	$158.19
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 $112.05 / $125.23 / $479.89	Facility		$112.05	$125.23	$479.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $135.65 / $486.29	Professional		$112.05	$135.65	$486.29