Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.86 / $197.26 / $14,482.00	Facility		$96.86	$197.26	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.91 / $288.52 / $465.39	Facility		$246.91	$288.52	$465.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $127.64 / $557.64	Facility		$82.17	$127.64	$557.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $557.64 / $8,384.00	Facility		$90.84	$557.64	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $127.64 / $196.59	Facility		$76.94	$127.64	$196.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.85 / $290.07 / $393.41	Professional		$187.85	$290.07	$393.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00