Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $129.66	Facility		$129.66	$129.66	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $129.66 / $137.77	Professional		$129.66	$129.66	$137.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $230.15	Professional		$162.08	$162.08	$230.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.64 / $489.78 / $669.41	Facility		$382.64	$489.78	$669.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $224.20 / $309.56	Professional		$162.08	$224.20	$309.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $137.77 / $181.52	Facility		$129.66	$137.77	$181.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $137.77 / $181.52	Facility		$129.66	$137.77	$181.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $210.70	Professional		$162.08	$162.08	$210.70
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 $129.66 / $137.77 / $181.52	Facility		$129.66	$137.77	$181.52
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 $65.00 / $162.08 / $163.61	Facility		$65.00	$162.08	$163.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $168.19	Professional		$162.08	$162.08	$168.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $227.56 / $227.56	Professional		$227.56	$227.56	$227.56
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $204.22	Professional		$162.08	$162.08	$204.22