Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.30 / $713.90 / $14,482.00	Facility		$214.30	$713.90	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,389.00 / $10,382.04	Facility		$1,979.00	$6,389.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.63 / $589.70 / $904.61	Facility		$504.63	$589.70	$904.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $227.88 / $391.84	Facility		$185.20	$227.88	$391.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $266.18 / $4,821.00	Facility		$185.20	$266.18	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $229.59 / $391.84	Facility		$185.20	$229.59	$391.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.60 / $472.92 / $810.08	Professional		$354.60	$472.92	$810.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $222.19 / $6,482.70 / $6,482.70	Facility		$222.19	$6,482.70	$6,482.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,242.00 / $6,438.00	Facility		$2,883.00	$3,242.00	$6,438.00