Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $55.15 / $55.15	Facility		$55.15	$55.15	$55.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $58.60	Professional		$55.15	$55.15	$58.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $55.15 / $65.48	Professional		$49.81	$55.15	$65.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $55.84 / $82.17	Facility		$55.15	$55.84	$82.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $55.84 / $82.73	Facility		$55.15	$55.84	$82.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $144.77	Professional		$68.94	$68.94	$144.77
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 $55.15 / $55.15 / $82.17	Facility		$55.15	$55.15	$82.17
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 $58.60 / $80.00 / $258.52	Facility		$58.60	$80.00	$258.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $73.08 / $261.97	Professional		$58.60	$73.08	$261.97
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $89.62	Professional		$68.94	$68.94	$89.62