Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $167.65 / $167.65	Facility		$167.65	$167.65	$167.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $167.65 / $178.13	Professional		$167.65	$167.65	$178.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $178.13 / $199.08	Professional		$167.65	$178.13	$199.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $169.74 / $249.80	Facility		$167.65	$169.74	$249.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $169.74 / $251.48	Facility		$167.65	$169.74	$251.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $426.09	Professional		$202.90	$202.90	$426.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $167.65 / $249.80	Facility		$167.65	$167.65	$249.80
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 $178.13 / $209.56 / $785.85	Facility		$178.13	$209.56	$785.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $222.13 / $796.33	Professional		$178.13	$222.13	$796.33
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $255.65	Professional		$202.90	$202.90	$255.65