Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $139.19	Facility		$139.19	$139.19	$139.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $147.90	Professional		$139.19	$139.19	$147.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.60 / $147.90	Professional		$30.00	$42.60	$147.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $140.94 / $207.41	Facility		$139.19	$140.94	$207.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $140.94 / $208.80	Facility		$139.19	$140.94	$208.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $304.50	Professional		$145.00	$145.00	$304.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $536.88	Professional		$50.00	$70.00	$536.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $207.41	Facility		$139.19	$139.19	$207.41
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 $147.90 / $165.30 / $652.50	Facility		$147.90	$165.30	$652.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $184.44 / $661.20	Professional		$147.90	$184.44	$661.20
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $182.70	Professional		$145.00	$145.00	$182.70