Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $133.31 / $3,983.85	Facility		$58.81	$133.31	$3,983.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,601.00	Facility		$1,905.00	$1,979.00	$2,601.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.31 / $199.02 / $321.02	Facility		$170.31	$199.02	$321.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $75.84 / $168.94	Facility		$52.50	$75.84	$168.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $95.39 / $1,778.00	Facility		$52.52	$95.39	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $75.84 / $168.94	Facility		$52.50	$75.84	$168.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $151.44 / $227.00	Professional		$108.39	$151.44	$227.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90