Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $371.89 / $14,482.00	Facility		$112.65	$371.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $303.27 / $465.23	Facility		$259.52	$303.27	$465.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.01 / $125.20 / $218.00	Facility		$102.01	$125.20	$218.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $144.50 / $4,377.80	Facility		$99.80	$144.50	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.01 / $127.29 / $218.00	Facility		$102.01	$127.29	$218.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $257.66 / $420.39	Professional		$193.20	$257.66	$420.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $2,855.25 / $2,855.25	Facility		$121.52	$2,855.25	$2,855.25
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