Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.59 / $508.51 / $14,482.00	Facility		$153.59	$508.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.35 / $422.27 / $647.77	Facility		$361.35	$422.27	$647.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.56 / $200.18 / $640.50	Facility		$137.56	$200.18	$640.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $235.61 / $4,377.80	Facility		$136.30	$235.61	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.56 / $194.87 / $640.50	Facility		$137.56	$194.87	$640.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $333.68 / $579.79	Professional		$250.20	$333.68	$579.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $4,901.45 / $4,901.45	Facility		$158.47	$4,901.45	$4,901.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00