Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $269.37 / $14,482.00	Facility		$127.90	$269.37	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,653.00 / $11,863.00	Facility		$4,637.00	$7,653.00	$11,863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.22 / $391.73 / $600.91	Facility		$335.22	$391.73	$600.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $191.57 / $302.38	Facility		$127.90	$191.57	$302.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.69 / $261.23 / $1,756.00	Facility		$129.69	$261.23	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $191.55 / $302.38	Facility		$127.90	$191.55	$302.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $338.98 / $506.02	Professional		$278.02	$338.98	$506.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
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