Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.32 / $392.74 / $14,482.00	Facility		$160.32	$392.74	$14,482.00
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 $491.11 / $573.90 / $880.38	Facility		$491.11	$573.90	$880.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $174.55 / $291.70 / $564.21	Facility		$174.55	$291.70	$564.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $527.10 / $1,789.00	Facility		$187.57	$527.10	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $174.55 / $291.70 / $564.21	Facility		$174.55	$291.70	$564.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.10 / $468.12 / $664.33	Professional		$365.10	$468.12	$664.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $824.68 / $2,000.00 / $2,000.00	Facility		$824.68	$2,000.00	$2,000.00
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