Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.92 / $183.69 / $1,894.00	Facility		$75.92	$183.69	$1,894.00
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 $448.76 / $524.41 / $804.46	Facility		$448.76	$524.41	$804.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $198.80 / $476.58	Facility		$91.91	$198.80	$476.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $258.77 / $1,590.00	Facility		$97.97	$258.77	$1,590.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $198.80 / $476.58	Facility		$91.91	$198.80	$476.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $209.85 / $319.10 / $561.45	Professional		$209.85	$319.10	$561.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $172.26 / $230.22 / $649.32	Facility		$172.26	$230.22	$649.32
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90