Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $399.50 / $399.50	Facility		$399.50	$399.50	$399.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $399.50 / $424.47	Professional		$399.50	$399.50	$424.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.79 / $399.50 / $474.41	Professional		$360.79	$399.50	$474.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $404.50 / $595.26	Facility		$399.50	$404.50	$595.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $404.50 / $599.25	Facility		$399.50	$404.50	$599.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $1,048.78	Professional		$499.42	$499.42	$1,048.78
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 $399.50 / $399.50 / $595.26	Facility		$399.50	$399.50	$595.26
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 $424.47 / $474.41 / $1,872.68	Facility		$424.47	$474.41	$1,872.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $529.34 / $1,897.64	Professional		$424.47	$529.34	$1,897.64
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $599.29	Professional		$499.42	$499.42	$599.29