Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.54 / $633.30 / $14,482.00	Facility		$374.54	$633.30	$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 $792.08 / $925.61 / $1,492.98	Facility		$792.08	$925.61	$1,492.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $337.76 / $461.71 / $1,393.12	Facility		$337.76	$461.71	$1,393.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.76 / $1,393.12 / $6,150.00	Facility		$337.76	$1,393.12	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $337.76 / $461.71 / $1,393.12	Facility		$337.76	$461.71	$1,393.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $618.15 / $954.52 / $1,243.34	Professional		$618.15	$954.52	$1,243.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,728.65 / $3,728.65 / $3,728.65	Facility		$3,728.65	$3,728.65	$3,728.65
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