Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $172.87 / $308.08	Facility		$81.03	$172.87	$308.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $9,096.00 / $15,579.70	Facility		$1,979.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.87 / $256.94 / $414.43	Facility		$219.87	$256.94	$414.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $105.81 / $165.42	Facility		$81.03	$105.81	$165.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $618.00 / $2,043.20	Facility		$84.51	$618.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $105.81 / $165.42	Facility		$81.03	$105.81	$165.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $248.92 / $358.01	Professional		$161.19	$248.92	$358.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,575.90 / $1,575.90 / $1,575.90	Facility		$1,575.90	$1,575.90	$1,575.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90