Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $166.83 / $166.83	Facility		$166.83	$166.83	$166.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $166.83 / $177.26	Professional		$166.83	$166.83	$177.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $177.26 / $198.11	Professional		$142.63	$177.26	$198.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $166.83 / $250.25	Facility		$166.83	$166.83	$250.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $168.92 / $250.25	Facility		$166.83	$168.92	$250.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $792.45 / $792.45 / $792.45	Professional		$792.45	$792.45	$792.45
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 $166.83 / $166.83 / $250.25	Facility		$166.83	$166.83	$250.25
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 $177.26 / $198.11 / $782.03	Facility		$177.26	$198.11	$782.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $221.05 / $792.45	Professional		$177.26	$221.05	$792.45