Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $154.88 / $14,482.00	Facility		$70.62	$154.88	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.84 / $225.35 / $345.69	Facility		$192.84	$225.35	$345.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $105.22 / $182.06	Facility		$70.62	$105.22	$182.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $149.80 / $3,995.00	Facility		$70.62	$149.80	$3,995.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $105.22 / $182.06	Facility		$70.62	$105.22	$182.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $178.20 / $266.02	Professional		$140.41	$178.20	$266.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $2,710.90	Facility		$982.04	$982.04	$2,710.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.42 / $3,068.00 / $4,295.00	Facility		$2,276.42	$3,068.00	$4,295.00