Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.44 / $139.97 / $14,482.00	Facility		$80.44	$139.97	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.41 / $197.97 / $319.32	Facility		$169.41	$197.97	$319.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $93.41 / $133.75	Facility		$68.43	$93.41	$133.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $3,242.00 / $6,312.00	Facility		$75.03	$3,242.00	$6,312.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $93.41 / $133.75	Facility		$68.43	$93.41	$133.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $203.75 / $271.97	Professional		$131.94	$203.75	$271.97
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