Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $203.94 / $14,482.00	Facility		$91.22	$203.94	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $303.27 / $489.17	Facility		$259.52	$303.27	$489.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $131.08 / $199.18	Facility		$91.22	$131.08	$199.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $1,957.00 / $4,514.00	Facility		$99.70	$1,957.00	$4,514.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $136.90 / $199.18	Facility		$91.22	$136.90	$199.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $322.00 / $418.80	Professional		$209.30	$322.00	$418.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,710.90 / $2,710.90 / $2,710.90	Facility		$2,710.90	$2,710.90	$2,710.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00