Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $403.97 / $1,894.00	Facility		$133.81	$403.97	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.30 / $667.62 / $1,076.84	Facility		$571.30	$667.62	$1,076.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $216.59 / $421.57	Facility		$110.81	$216.59	$421.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.89 / $280.49 / $1,778.00	Facility		$120.89	$280.49	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $216.59 / $421.57	Facility		$100.74	$216.59	$421.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $255.71 / $430.51 / $760.22	Professional		$255.71	$430.51	$760.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $907.20 / $907.20 / $907.20	Facility		$907.20	$907.20	$907.20
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