Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $288.92 / $14,482.00	Facility		$169.04	$288.92	$14,482.00
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 $361.35 / $422.27 / $681.10	Facility		$361.35	$422.27	$681.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.09 / $206.78 / $863.26	Facility		$154.09	$206.78	$863.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.09 / $618.00 / $1,789.00	Facility		$154.09	$618.00	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $206.78 / $588.75	Facility		$141.25	$206.78	$588.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $421.55 / $566.36	Professional		$273.00	$421.55	$566.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
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