Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.79 / $402.01 / $14,482.00	Facility		$236.79	$402.01	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.43 / $591.79 / $954.56	Facility		$506.43	$591.79	$954.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $196.54 / $277.04 / $441.00	Facility		$196.54	$277.04	$441.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.85 / $2,781.00 / $6,150.00	Facility		$218.85	$2,781.00	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $214.40 / $289.58 / $441.00	Facility		$214.40	$289.58	$441.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $387.40 / $598.21 / $773.91	Professional		$387.40	$598.21	$773.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,493.00 / $4,493.00 / $4,493.00	Facility		$4,493.00	$4,493.00	$4,493.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00