Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $269.95 / $1,894.00	Facility		$111.84	$269.95	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.98 / $447.54 / $686.53	Facility		$382.98	$447.54	$686.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.30 / $203.98 / $436.65	Facility		$125.30	$203.98	$436.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.50 / $308.14 / $1,590.00	Facility		$133.50	$308.14	$1,590.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.30 / $203.98 / $436.65	Facility		$125.30	$203.98	$436.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.51 / $393.18 / $508.20	Professional		$268.51	$393.18	$508.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $253.16 / $338.34 / $625.20	Facility		$253.16	$338.34	$625.20
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