Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $800.78 / $14,482.00	Facility		$53.87	$800.78	$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 $1,981.56 / $2,315.61 / $3,552.21	Facility		$1,981.56	$2,315.61	$3,552.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $577.71 / $1,192.23	Facility		$49.65	$577.71	$1,192.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $670.63 / $3,242.00	Facility		$49.65	$670.63	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $563.20 / $1,183.58	Facility		$49.53	$563.20	$1,183.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $741.70 / $2,341.61	Professional		$112.02	$741.70	$2,341.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $227.07 / $227.07	Facility		$85.60	$227.07	$227.07
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