Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $314.91 / $14,482.00	Facility		$170.89	$314.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,389.00 / $10,382.04	Facility		$1,183.00	$6,389.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.69 / $461.23 / $707.53	Facility		$394.69	$461.23	$707.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.93 / $216.47 / $470.34	Facility		$155.93	$216.47	$470.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.96 / $244.85 / $1,642.00	Facility		$153.96	$244.85	$1,642.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.93 / $216.47 / $532.95	Facility		$155.93	$216.47	$532.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $388.10 / $640.00	Professional		$291.00	$388.10	$640.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $185.77 / $2,922.50 / $2,922.50	Facility		$185.77	$2,922.50	$2,922.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90