Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.03 / $524.48 / $14,482.00	Facility		$216.03	$524.48	$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 $655.11 / $765.55 / $1,174.38	Facility		$655.11	$765.55	$1,174.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $233.10 / $360.11 / $791.40	Facility		$233.10	$360.11	$791.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $780.57 / $11,598.00	Facility		$257.30	$780.57	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $233.10 / $360.11 / $791.40	Facility		$233.10	$360.11	$791.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $648.96 / $920.97	Professional		$486.60	$648.96	$920.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $477.84 / $1,227.70 / $1,227.70	Facility		$477.84	$1,227.70	$1,227.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00