Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.29 / $118.17 / $14,482.00	Facility		$72.29	$118.17	$14,482.00
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 $146.88 / $171.64 / $276.86	Facility		$146.88	$171.64	$276.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $90.37 / $115.50	Facility		$57.77	$90.37	$115.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $1,124.00 / $2,043.20	Facility		$65.29	$1,124.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $90.37 / $115.50	Facility		$57.77	$90.37	$115.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $178.66 / $238.16	Professional		$115.70	$178.66	$238.16
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 $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90