Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.41 / $728.06 / $14,482.00	Facility		$96.41	$728.06	$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 $1,713.03 / $2,001.81 / $3,070.83	Facility		$1,713.03	$2,001.81	$3,070.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $563.82 / $1,204.08	Facility		$87.29	$563.82	$1,204.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $621.40 / $3,242.00	Facility		$87.29	$621.40	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $563.82 / $1,204.08	Facility		$87.71	$563.82	$1,204.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.36 / $652.50 / $2,059.98	Professional		$195.36	$652.50	$2,059.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $1,003.98 / $1,003.98	Facility		$149.61	$1,003.98	$1,003.98
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