Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.10 / $3,119.00 / $14,482.00	Facility		$136.10	$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 $276.64 / $323.27 / $495.92	Facility		$276.64	$323.27	$495.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $132.46 / $228.22	Facility		$104.73	$132.46	$228.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $146.31 / $4,821.00	Facility		$104.73	$146.31	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $133.36 / $216.86	Facility		$102.42	$133.36	$216.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $247.68 / $443.89	Professional		$188.40	$247.68	$443.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $4,989.20 / $4,989.20	Facility		$119.30	$4,989.20	$4,989.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,628.00 / $5,471.00	Facility		$2,976.00	$3,628.00	$5,471.00