Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $630.32 / $14,482.00	Facility		$97.24	$630.32	$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 $843.45 / $985.64 / $1,511.99	Facility		$843.45	$985.64	$1,511.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.45 / $281.91 / $612.29	Facility		$92.45	$281.91	$612.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.36 / $311.08 / $2,776.25	Facility		$93.36	$311.08	$2,776.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $278.88 / $602.29	Facility		$92.43	$278.88	$602.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $197.90 / $404.93 / $1,033.40	Professional		$197.90	$404.93	$1,033.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $149.68 / $569.88 / $2,776.25	Facility		$149.68	$569.88	$2,776.25
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