Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $175.88 / $1,894.00	Facility		$79.50	$175.88	$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 $365.85 / $427.53 / $655.84	Facility		$365.85	$427.53	$655.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $134.49 / $280.38	Facility		$82.26	$134.49	$280.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $170.60 / $3,034.00	Facility		$83.45	$170.60	$3,034.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $134.49 / $280.38	Facility		$82.26	$134.49	$280.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $301.49 / $459.80	Professional		$194.49	$301.49	$459.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.01 / $386.01 / $982.04	Facility		$386.01	$386.01	$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