Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.49 / $319.50 / $14,482.00	Facility		$197.49	$319.50	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.20 / $466.49 / $752.44	Facility		$399.20	$466.49	$752.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $231.29 / $309.27	Facility		$156.19	$231.29	$309.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.85 / $2,803.00 / $7,868.00	Facility		$177.85	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $231.29 / $309.27	Facility		$156.19	$231.29	$309.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $487.80 / $647.48	Professional		$315.89	$487.80	$647.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,059.42 / $2,059.42 / $2,059.42	Facility		$2,059.42	$2,059.42	$2,059.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00