Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $289.27 / $1,894.00	Facility		$106.40	$289.27	$1,894.00
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 $384.78 / $449.64 / $725.26	Facility		$384.78	$449.64	$725.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $161.56 / $289.08	Facility		$106.40	$161.56	$289.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $235.79 / $5,261.00	Facility		$107.10	$235.79	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $161.56 / $289.08	Facility		$106.40	$161.56	$289.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $323.39 / $472.16	Professional		$223.47	$323.39	$472.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $463.24 / $463.24 / $463.24	Facility		$463.24	$463.24	$463.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00