Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.63 / $1,229.65 / $6,134.86	Facility		$417.63	$1,229.65	$6,134.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,568.85 / $1,833.33 / $2,957.09	Facility		$1,568.85	$1,833.33	$2,957.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $417.63 / $601.16 / $1,018.65	Facility		$417.63	$601.16	$1,018.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.72 / $1,175.00 / $5,801.00	Facility		$500.72	$1,175.00	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $417.63 / $601.16 / $1,018.65	Facility		$417.63	$601.16	$1,018.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $777.94 / $1,433.52 / $2,076.98	Professional		$777.94	$1,433.52	$2,076.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,528.72 / $3,528.72 / $3,528.72	Facility		$3,528.72	$3,528.72	$3,528.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00