Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.98 / $603.02 / $14,482.00	Facility		$271.98	$603.02	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.14 / $882.44 / $1,353.68	Facility		$755.14	$882.44	$1,353.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $271.98 / $407.97 / $682.92	Facility		$271.98	$407.97	$682.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.98 / $537.46 / $5,887.00	Facility		$286.98	$537.46	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $271.98 / $407.97 / $682.92	Facility		$271.98	$407.97	$682.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $623.62 / $760.32 / $1,135.01	Professional		$623.62	$760.32	$1,135.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,103.97 / $5,103.97 / $5,103.97	Facility		$5,103.97	$5,103.97	$5,103.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00