Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $220.80 / $14,482.00	Facility		$62.23	$220.80	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.16 / $626.54 / $961.15	Facility		$536.16	$626.54	$961.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $168.50 / $413.00	Facility		$57.89	$168.50	$413.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $187.68 / $2,855.25	Facility		$57.89	$187.68	$2,855.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $176.70 / $413.00	Facility		$57.89	$176.70	$413.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $259.32 / $667.73	Professional		$129.19	$259.32	$667.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96.93 / $334.15 / $2,855.25	Facility		$96.93	$334.15	$2,855.25
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