Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $404.89 / $14,482.00	Facility		$122.42	$404.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,601.00	Facility		$1,905.00	$1,979.00	$2,601.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.14 / $328.55 / $529.92	Facility		$281.14	$328.55	$529.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $140.91 / $241.57	Facility		$111.07	$140.91	$241.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $158.66 / $4,377.80	Facility		$111.07	$158.66	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $141.36 / $219.19	Facility		$111.07	$141.36	$219.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $280.37 / $457.15	Professional		$205.74	$280.37	$457.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.12 / $284.74 / $4,262.50	Facility		$134.12	$284.74	$4,262.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,912.00 / $5,471.00	Facility		$2,976.00	$3,912.00	$5,471.00