Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.01 / $3,119.00 / $12,239.73	Facility		$195.01	$3,119.00	$12,239.73
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 $468.58 / $547.58 / $883.22	Facility		$468.58	$547.58	$883.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.57 / $219.43 / $904.93	Facility		$180.57	$219.43	$904.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.01 / $904.93 / $8,384.00	Facility		$195.01	$904.93	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.57 / $219.43 / $904.93	Facility		$180.57	$219.43	$904.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $552.04 / $650.27	Professional		$357.50	$552.04	$650.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
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