Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $370.82 / $14,482.00	Facility		$170.73	$370.82	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.58 / $547.58 / $883.22	Facility		$468.58	$547.58	$883.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $223.64 / $483.00	Facility		$170.73	$223.64	$483.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $2,781.00 / $6,150.00	Facility		$170.73	$2,781.00	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $223.64 / $483.00	Facility		$170.73	$223.64	$483.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $533.97 / $747.91	Professional		$345.80	$533.97	$747.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,989.20 / $4,989.20 / $4,989.20	Facility		$4,989.20	$4,989.20	$4,989.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00