Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $148.16 / $14,482.00	Facility		$67.03	$148.16	$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 $183.83 / $214.82 / $329.54	Facility		$183.83	$214.82	$329.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $99.87 / $167.99	Facility		$67.03	$99.87	$167.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $145.51 / $3,995.00	Facility		$67.03	$145.51	$3,995.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $98.78 / $167.99	Facility		$67.03	$98.78	$167.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $170.28 / $254.19	Professional		$134.18	$170.28	$254.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,250.02 / $1,250.02 / $3,450.60	Facility		$1,250.02	$1,250.02	$3,450.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00