Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $912.90 / $14,482.00	Facility		$94.05	$912.90	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,176.19 / $2,543.07 / $3,901.13	Facility		$2,176.19	$2,543.07	$3,901.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $241.41 / $1,278.06	Facility		$87.41	$241.41	$1,278.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $320.11 / $3,036.00	Facility		$87.92	$320.11	$3,036.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $234.57 / $1,278.06	Facility		$87.39	$234.57	$1,278.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.42 / $819.76 / $2,588.03	Professional		$193.42	$819.76	$2,588.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $1,269.29 / $4,901.45	Facility		$145.88	$1,269.29	$4,901.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,912.00 / $5,865.00	Facility		$2,976.00	$3,912.00	$5,865.00