Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.45 / $554.41 / $14,482.00	Facility		$167.45	$554.41	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $8,436.00 / $15,579.70	Facility		$1,979.00	$8,436.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.89 / $459.12 / $704.30	Facility		$392.89	$459.12	$704.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $180.61 / $306.33	Facility		$146.40	$180.61	$306.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.81 / $213.07 / $4,821.00	Facility		$143.81	$213.07	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $143.81 / $186.37 / $306.45	Facility		$143.81	$186.37	$306.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $364.89 / $631.72	Professional		$273.60	$364.89	$631.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.23 / $24,104.80 / $24,104.80	Facility		$173.23	$24,104.80	$24,104.80
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