Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $227.77 / $3,119.00	Facility		$93.92	$227.77	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.55 / $622.34 / $954.69	Facility		$532.55	$622.34	$954.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $237.52 / $567.57	Facility		$113.85	$237.52	$567.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $309.14 / $1,513.00	Facility		$121.48	$309.14	$1,513.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $237.52 / $567.57	Facility		$113.85	$237.52	$567.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.23 / $396.32 / $667.47	Professional		$260.23	$396.32	$667.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.60 / $285.47 / $800.52	Facility		$213.60	$285.47	$800.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90