Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $524.51 / $14,482.00	Facility		$128.84	$524.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.88 / $352.77 / $541.15	Facility		$301.88	$352.77	$541.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $144.83 / $241.00	Facility		$111.20	$144.83	$241.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $164.75 / $1,756.00	Facility		$111.20	$164.75	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $144.83 / $238.24	Facility		$110.63	$144.83	$238.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $280.87 / $486.30	Professional		$210.60	$280.87	$486.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.99 / $531.37 / $531.37	Facility		$133.99	$531.37	$531.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90