Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $697.58 / $14,482.00	Facility		$209.96	$697.58	$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 $490.21 / $572.85 / $878.76	Facility		$490.21	$572.85	$878.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.82 / $223.48 / $381.73	Facility		$183.82	$223.48	$381.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.82 / $263.79 / $4,821.00	Facility		$183.82	$263.79	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $183.82 / $229.62 / $383.98	Facility		$183.82	$229.62	$383.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $465.72 / $788.54	Professional		$349.20	$465.72	$788.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.88 / $4,901.45 / $4,901.45	Facility		$218.88	$4,901.45	$4,901.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,827.00 / $6,438.00	Facility		$2,723.00	$3,827.00	$6,438.00