Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.76 / $175.57 / $1,894.00	Facility		$71.76	$175.57	$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 $222.58 / $260.10 / $419.53	Facility		$222.58	$260.10	$419.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $93.64 / $164.96	Facility		$64.66	$93.64	$164.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $123.48 / $4,195.00	Facility		$68.97	$123.48	$4,195.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $93.64 / $164.96	Facility		$64.66	$93.64	$164.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $201.00 / $301.49	Professional		$135.00	$201.00	$301.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $484.26 / $484.26 / $484.26	Facility		$484.26	$484.26	$484.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00