Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $517.89 / $14,482.00	Facility		$156.19	$517.89	$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 $367.66 / $429.64 / $659.07	Facility		$367.66	$429.64	$659.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $196.54 / $472.50	Facility		$139.75	$196.54	$472.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.71 / $218.68 / $4,377.80	Facility		$138.71	$218.68	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $196.32 / $484.00	Facility		$139.75	$196.32	$484.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $340.09 / $590.52	Professional		$255.00	$340.09	$590.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $161.56 / $4,901.45 / $4,901.45	Facility		$161.56	$4,901.45	$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