Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.54 / $3,898.70 / $7,756.04	Facility		$168.54	$3,898.70	$7,756.04
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 $366.76 / $428.58 / $691.29	Facility		$366.76	$428.58	$691.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $197.19 / $725.33	Facility		$155.81	$197.19	$725.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $725.33 / $8,384.00	Facility		$155.81	$725.33	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $197.19 / $725.33	Facility		$155.81	$197.19	$725.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $297.70 / $411.65 / $520.10	Professional		$297.70	$411.65	$520.10
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 $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00