Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $158.54 / $14,482.00	Facility		$72.28	$158.54	$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 $197.35 / $230.61 / $353.77	Facility		$197.35	$230.61	$353.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $107.70 / $176.15	Facility		$72.28	$107.70	$176.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $152.76 / $3,995.00	Facility		$72.28	$152.76	$3,995.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $107.70 / $176.15	Facility		$72.28	$107.70	$176.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $182.16 / $271.93	Professional		$143.54	$182.16	$271.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,244.70 / $1,244.70 / $3,435.95	Facility		$1,244.70	$1,244.70	$3,435.95
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