Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $241.72 / $14,482.00	Facility		$149.88	$241.72	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.17 / $349.61 / $563.90	Facility		$299.17	$349.61	$563.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $189.25 / $430.50	Facility		$118.17	$189.25	$430.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.50 / $2,553.00 / $7,700.00	Facility		$137.50	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $189.25 / $430.50	Facility		$118.17	$189.25	$430.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.05 / $378.39 / $490.12	Professional		$245.05	$378.39	$490.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
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