Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $153.00	Professional		$144.00	$144.00	$153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $103.13 / $171.00	Professional		$103.13	$103.13	$171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $145.80 / $214.56	Facility		$144.00	$145.80	$214.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $145.80 / $216.00	Facility		$144.00	$145.80	$216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $378.00	Professional		$180.00	$180.00	$378.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $214.56	Facility		$144.00	$144.00	$214.56
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 $153.00 / $171.00 / $675.00	Facility		$153.00	$171.00	$675.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $190.80 / $684.00	Professional		$153.00	$190.80	$684.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $234.00	Professional		$180.00	$180.00	$234.00