Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.77 / $461.19 / $14,482.00	Facility		$258.77	$461.19	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.91 / $480.18 / $774.52	Facility		$410.91	$480.18	$774.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $288.99 / $603.72	Facility		$138.01	$288.99	$603.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $916.00 / $2,043.20	Facility		$138.01	$916.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $288.99 / $722.48	Facility		$138.01	$288.99	$722.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $295.42 / $529.52	Professional		$201.42	$295.42	$529.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,538.00 / $2,538.00 / $2,538.00	Facility		$2,538.00	$2,538.00	$2,538.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90