Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $459.65 / $14,482.00	Facility		$219.86	$459.65	$14,482.00
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 $572.21 / $668.67 / $1,025.76	Facility		$572.21	$668.67	$1,025.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $312.11 / $508.52	Facility		$219.86	$312.11	$508.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $364.38 / $5,261.00	Facility		$219.86	$364.38	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $307.80 / $508.52	Facility		$219.86	$307.80	$508.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $575.78 / $859.53	Professional		$472.55	$575.78	$859.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,231.75 / $4,231.75 / $4,231.75	Facility		$4,231.75	$4,231.75	$4,231.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00