Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.28 / $508.16 / $6,461.00	Facility		$205.28	$508.16	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.13 / $1,159.39 / $1,778.53	Facility		$992.13	$1,159.39	$1,778.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $440.08 / $1,011.24	Facility		$242.22	$440.08	$1,011.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.02 / $664.08 / $7,318.00	Facility		$271.02	$664.08	$7,318.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $440.08 / $1,011.24	Facility		$242.22	$440.08	$1,011.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $538.57 / $823.90 / $1,204.04	Professional		$538.57	$823.90	$1,204.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $476.54 / $636.90 / $1,731.36	Facility		$476.54	$636.90	$1,731.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00