Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $218.16 / $6,461.00	Facility		$89.95	$218.16	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.80 / $566.53 / $869.07	Facility		$484.80	$566.53	$869.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $213.30 / $501.66	Facility		$107.01	$213.30	$501.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $290.52 / $1,513.00	Facility		$116.35	$290.52	$1,513.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $213.30 / $501.66	Facility		$107.01	$213.30	$501.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.19 / $372.11 / $597.15	Professional		$247.19	$372.11	$597.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.59 / $273.43 / $501.09	Facility		$204.59	$273.43	$501.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90