Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $280.85 / $14,482.00	Facility		$127.12	$280.85	$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 $353.24 / $412.79 / $665.81	Facility		$353.24	$412.79	$665.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $166.07 / $268.36	Facility		$127.12	$166.07	$268.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.30 / $1,124.00 / $2,043.20	Facility		$137.30	$1,124.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $166.07 / $268.36	Facility		$127.12	$166.07	$268.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.80 / $452.00 / $624.95	Professional		$293.80	$452.00	$624.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $684.26 / $684.26 / $684.26	Facility		$684.26	$684.26	$684.26
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $68.43 / $68.43 / $68.43	Facility	AS	$68.43	$68.43	$68.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90