Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $239.20 / $1,894.00	Facility		$102.91	$239.20	$1,894.00
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 $674.94 / $788.72 / $1,209.92	Facility		$674.94	$788.72	$1,209.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.12 / $225.05 / $450.64	Facility		$105.12	$225.05	$450.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $267.47 / $3,034.00	Facility		$108.22	$267.47	$3,034.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.12 / $225.05 / $450.64	Facility		$105.12	$225.05	$450.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.88 / $460.36 / $816.17	Professional		$247.88	$460.36	$816.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $492.01 / $492.01 / $982.04	Facility		$492.01	$492.01	$982.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00