Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.50 / $1,117.73 / $14,482.00	Facility		$458.50	$1,117.73	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.06 / $2,856.00 / $4,612.00	Facility		$1,192.06	$2,856.00	$4,612.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.93 / $1,630.09 / $2,500.60	Facility		$1,394.93	$1,630.09	$2,500.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.77 / $768.38 / $1,640.55	Facility		$496.77	$768.38	$1,640.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.83 / $1,612.56 / $6,283.00	Facility		$530.83	$1,612.56	$6,283.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $496.77 / $768.38 / $1,640.55	Facility		$496.77	$768.38	$1,640.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,055.34 / $1,353.14 / $1,920.30	Professional		$1,055.34	$1,353.14	$1,920.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,017.14 / $5,205.20 / $5,205.20	Facility		$1,017.14	$5,205.20	$5,205.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00