Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.87 / $261.64 / $2,978.20	Facility		$120.87	$261.64	$2,978.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.61 / $387.52 / $594.46	Facility		$331.61	$387.52	$594.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $148.85 / $256.80	Facility		$116.29	$148.85	$256.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.94 / $4,191.55 / $6,312.00	Facility		$199.94	$4,191.55	$6,312.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $148.85 / $256.80	Facility		$116.29	$148.85	$256.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $297.79 / $444.54	Professional		$225.60	$297.79	$444.54
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00