Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $327.87 / $4,692.60	Facility		$141.81	$327.87	$4,692.60
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 $413.61 / $483.34 / $779.61	Facility		$413.61	$483.34	$779.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $174.86 / $281.52	Facility		$141.81	$174.86	$281.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $276.04 / $8,384.00	Facility		$141.81	$276.04	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $174.86 / $281.52	Facility		$141.22	$174.86	$281.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $442.53 / $583.71	Professional		$311.52	$442.53	$583.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $659.72 / $659.72 / $659.72	Facility		$659.72	$659.72	$659.72
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