Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.97 / $1,054.42 / $1,894.00	Facility		$508.97	$1,054.42	$1,894.00
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 $1,360.69 / $1,590.08 / $2,564.73	Facility		$1,360.69	$1,590.08	$2,564.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $474.25 / $636.39 / $1,179.48	Facility		$474.25	$636.39	$1,179.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.97 / $1,007.55 / $8,292.34	Facility		$508.97	$1,007.55	$8,292.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $474.25 / $636.39 / $1,179.48	Facility		$474.25	$636.39	$1,179.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $936.84 / $1,334.46 / $1,823.11	Professional		$936.84	$1,334.46	$1,823.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,970.30 / $2,970.30 / $2,970.30	Facility		$2,970.30	$2,970.30	$2,970.30
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