Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.97 / $214.90 / $14,482.00	Facility		$112.97	$214.90	$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 $272.14 / $318.02 / $512.95	Facility		$272.14	$318.02	$512.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.06 / $127.24 / $410.79	Facility		$105.06	$127.24	$410.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.97 / $410.79 / $8,384.00	Facility		$112.97	$410.79	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $127.24 / $213.77	Facility		$103.99	$127.24	$213.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $320.18 / $377.15	Professional		$207.35	$320.18	$377.15
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 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00