Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $302.64 / $1,894.00	Facility		$101.04	$302.64	$1,894.00
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 $449.66 / $525.46 / $847.55	Facility		$449.66	$525.46	$847.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.56 / $164.43 / $335.96	Facility		$90.56	$164.43	$335.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $211.83 / $5,261.00	Facility		$96.60	$211.83	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $162.26 / $335.96	Facility		$84.38	$162.26	$335.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $347.84 / $596.82	Professional		$188.54	$347.84	$596.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $481.55 / $481.55 / $481.55	Facility		$481.55	$481.55	$481.55
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