Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $616.34 / $2,129.65	Facility		$141.44	$616.34	$2,129.65
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 $919.14 / $1,074.08 / $1,647.68	Facility		$919.14	$1,074.08	$1,647.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.58 / $369.43 / $910.68	Facility		$166.58	$369.43	$910.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.62 / $461.19 / $3,593.00	Facility		$183.62	$461.19	$3,593.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.58 / $369.43 / $910.68	Facility		$166.58	$369.43	$910.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.92 / $592.73 / $1,099.10	Professional		$380.92	$592.73	$1,099.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $324.31 / $433.43 / $1,199.52	Facility		$324.31	$433.43	$1,199.52
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