Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.47 / $455.30 / $14,482.00	Facility		$255.47	$455.30	$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 $404.60 / $472.81 / $762.63	Facility		$404.60	$472.81	$762.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $285.08 / $595.91	Facility		$136.25	$285.08	$595.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $916.00 / $2,043.20	Facility		$136.25	$916.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $285.08 / $709.13	Facility		$136.25	$285.08	$709.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $291.45 / $521.98	Professional		$198.72	$291.45	$521.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,304.75 / $2,304.75 / $2,304.75	Facility		$2,304.75	$2,304.75	$2,304.75
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