Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $162.19 / $162.19	Facility		$162.19	$162.19	$162.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $171.42 / $232.29	Professional		$162.19	$171.42	$232.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $312.69 / $779.55	Professional		$165.52	$312.69	$779.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $191.28 / $191.28	Professional		$191.28	$191.28	$191.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $196.71 / $324.70	Facility		$162.19	$196.71	$324.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $110.66 / $110.66	Professional		$110.66	$110.66	$110.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $196.71 / $324.70	Facility		$162.19	$196.71	$324.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,274.00 / $1,274.00 / $1,274.00	Professional		$1,274.00	$1,274.00	$1,274.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $619.97	Professional		$50.00	$58.40	$619.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $196.71 / $324.70	Facility		$162.19	$196.71	$324.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $110.66 / $110.66	Professional		$110.66	$110.66	$110.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.68 / $506.41 / $706.20	Professional		$346.68	$506.41	$706.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,062.89 / $5,062.89 / $5,062.89	Facility		$5,062.89	$5,062.89	$5,062.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $878.36 / $883.25 / $1,274.00	Professional		$878.36	$883.25	$1,274.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $385.65 / $408.34 / $453.71	Professional		$385.65	$408.34	$453.71