Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $3,119.00 / $14,482.00	Facility		$139.97	$3,119.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,046.00 / $5,962.00	Facility		$1,905.00	$3,046.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $339.08 / $520.15	Facility		$290.16	$339.08	$520.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.98 / $135.22 / $241.84	Facility		$106.98	$135.22	$241.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $148.55 / $4,821.00	Facility		$109.12	$148.55	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $135.22 / $225.92	Facility		$102.61	$135.22	$225.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $261.08 / $465.65	Professional		$198.60	$261.08	$465.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $124.92 / $4,989.20 / $4,989.20	Facility		$124.92	$4,989.20	$4,989.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,583.00 / $5,471.00	Facility		$2,960.00	$3,583.00	$5,471.00