Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.45 / $537.04 / $14,482.00	Facility		$256.45	$537.04	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,601.00	Facility		$1,905.00	$1,979.00	$2,601.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.33 / $784.51 / $1,203.45	Facility		$671.33	$784.51	$1,203.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $256.45 / $384.68 / $610.61	Facility		$256.45	$384.68	$610.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.45 / $523.70 / $1,756.00	Facility		$256.45	$523.70	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $256.45 / $384.68 / $610.61	Facility		$256.45	$384.68	$610.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $523.58 / $638.35 / $952.93	Professional		$523.58	$638.35	$952.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,571.28 / $2,571.28 / $2,571.28	Facility		$2,571.28	$2,571.28	$2,571.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90