Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $96.75 / $96.75	Facility		$96.75	$96.75	$96.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $102.80	Professional		$96.75	$96.75	$102.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $102.80 / $114.89	Professional		$96.75	$102.80	$114.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $97.96 / $144.16	Facility		$96.75	$97.96	$144.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $97.96 / $145.13	Facility		$96.75	$97.96	$145.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $211.64	Professional		$100.78	$100.78	$211.64
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 $96.75 / $96.75 / $144.16	Facility		$96.75	$96.75	$144.16
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 $102.80 / $120.94 / $453.53	Facility		$102.80	$120.94	$453.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $128.19 / $459.57	Professional		$102.80	$128.19	$459.57
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $121.02	Professional		$100.78	$100.78	$121.02