Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.79 / $655.30 / $14,482.00	Facility		$197.79	$655.30	$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 $464.08 / $542.30 / $831.92	Facility		$464.08	$542.30	$831.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.20 / $242.02 / $542.64	Facility		$177.20	$242.02	$542.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $269.93 / $4,792.00	Facility		$175.31	$269.93	$4,792.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.36 / $231.41 / $542.64	Facility		$175.36	$231.41	$542.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $431.31 / $746.93	Professional		$323.39	$431.31	$746.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $4,901.45 / $4,901.45	Facility		$204.80	$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