Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $195.57 / $1,894.00	Facility		$80.33	$195.57	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $290.64 / $468.79	Facility		$248.71	$290.64	$468.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $104.30 / $184.25	Facility		$72.36	$104.30	$184.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $137.97 / $4,195.00	Facility		$77.18	$137.97	$4,195.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $104.30 / $184.25	Facility		$72.36	$104.30	$184.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $224.81 / $336.96	Professional		$151.78	$224.81	$336.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $541.52 / $541.52 / $541.52	Facility		$541.52	$541.52	$541.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00