Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.27 / $215.35 / $14,482.00	Facility		$152.27	$215.35	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.78 / $449.64 / $725.26	Facility		$384.78	$449.64	$725.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.17 / $157.54 / $278.31	Facility		$98.17	$157.54	$278.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.42 / $215.35 / $4,514.00	Facility		$112.42	$215.35	$4,514.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.17 / $157.54 / $294.55	Facility		$98.17	$157.54	$294.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $325.17 / $460.85	Professional		$198.90	$325.17	$460.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $716.70 / $716.70 / $716.70	Facility		$716.70	$716.70	$716.70
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