Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.94 / $405.90 / $14,482.00	Facility		$209.94	$405.90	$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 $513.64 / $600.23 / $968.15	Facility		$513.64	$600.23	$968.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.44 / $266.36 / $548.71	Facility		$198.44	$266.36	$548.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.09 / $548.71 / $8,384.00	Facility		$201.09	$548.71	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.44 / $266.36 / $548.71	Facility		$198.44	$266.36	$548.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.45 / $595.19 / $701.10	Professional		$385.45	$595.19	$701.10
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