Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.90 / $610.55 / $14,482.00	Facility		$184.90	$610.55	$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 $432.54 / $505.45 / $775.38	Facility		$432.54	$505.45	$775.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.66 / $234.57 / $457.60	Facility		$165.66	$234.57	$457.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.47 / $277.70 / $4,292.39	Facility		$165.47	$277.70	$4,292.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $165.66 / $232.75 / $457.60	Facility		$165.66	$232.75	$457.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $403.30 / $696.38	Professional		$302.39	$403.30	$696.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $191.77 / $3,590.15 / $3,590.15	Facility		$191.77	$3,590.15	$3,590.15
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