Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.93 / $308.23 / $14,482.00	Facility		$149.93	$308.23	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.37 / $443.33 / $715.07	Facility		$379.37	$443.33	$715.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $149.93 / $175.42 / $294.52	Facility		$149.93	$175.42	$294.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $5,496.00 / $8,783.00	Facility		$150.69	$5,496.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $149.93 / $175.42 / $294.52	Facility		$149.93	$175.42	$294.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $355.61 / $530.85	Professional		$192.98	$355.61	$530.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00