Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $161.24 / $14,482.00	Facility		$66.51	$161.24	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.95 / $2,550.00 / $4,441.52	Facility		$1,184.95	$2,550.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $361.84	Facility		$201.85	$235.88	$361.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $115.86 / $238.95	Facility		$71.66	$115.86	$238.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $217.92 / $5,639.00	Facility		$77.81	$217.92	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $115.86 / $238.95	Facility		$71.66	$115.86	$238.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $197.65 / $280.49	Professional		$148.19	$197.65	$280.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $1,300.00 / $1,300.00	Facility		$146.63	$1,300.00	$1,300.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00