Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $657.11 / $3,119.00	Facility		$267.23	$657.11	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,274.18 / $1,488.98 / $2,284.14	Facility		$1,274.18	$1,488.98	$2,284.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $318.23 / $571.61 / $1,319.10	Facility		$318.23	$571.61	$1,319.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.46 / $872.43 / $4,821.00	Facility		$350.46	$872.43	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $318.23 / $571.61 / $1,319.10	Facility		$318.23	$571.61	$1,319.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $730.16 / $1,087.90 / $1,585.92	Professional		$730.16	$1,087.90	$1,585.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.23 / $823.58 / $2,283.96	Facility		$616.23	$823.58	$2,283.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00