Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.56 / $649.78 / $14,482.00	Facility		$384.56	$649.78	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $807.40 / $943.51 / $1,521.86	Facility		$807.40	$943.51	$1,521.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.55 / $475.83 / $1,191.69	Facility		$346.55	$475.83	$1,191.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.55 / $916.00 / $1,789.00	Facility		$346.55	$916.00	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $346.55 / $475.83 / $1,191.69	Facility		$346.55	$475.83	$1,191.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $641.54 / $990.65 / $1,282.25	Professional		$641.54	$990.65	$1,282.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,645.44 / $2,645.44 / $2,645.44	Facility		$2,645.44	$2,645.44	$2,645.44
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