Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $379.67 / $14,482.00	Facility		$113.70	$379.67	$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 $748.83 / $875.07 / $1,342.38	Facility		$748.83	$875.07	$1,342.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.15 / $251.63 / $481.98	Facility		$104.15	$251.63	$481.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.15 / $272.02 / $2,783.00	Facility		$104.15	$272.02	$2,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $251.36 / $481.98	Facility		$103.52	$251.36	$481.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $476.55 / $931.19	Professional		$233.75	$476.55	$931.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $610.50 / $3,590.15	Facility		$176.75	$610.50	$3,590.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00