Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.78 / $351.90 / $14,482.00	Facility		$164.78	$351.90	$14,482.00
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 $437.94 / $511.77 / $785.07	Facility		$437.94	$511.77	$785.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.78 / $247.17 / $391.00	Facility		$164.78	$247.17	$391.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.78 / $344.60 / $1,756.00	Facility		$164.78	$344.60	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.78 / $242.48 / $391.00	Facility		$164.78	$242.48	$391.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $350.78 / $427.68 / $638.44	Professional		$350.78	$427.68	$638.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,079.11 / $2,079.11 / $2,079.11	Facility		$2,079.11	$2,079.11	$2,079.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90