Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $716.00 / $6,537.84	Facility		$185.82	$716.00	$6,537.84
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 $937.16 / $1,095.15 / $1,766.44	Facility		$937.16	$1,095.15	$1,766.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.49 / $350.04 / $684.17	Facility		$179.49	$350.04	$684.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $500.42 / $5,261.00	Facility		$185.82	$500.42	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $178.23 / $350.04 / $684.17	Facility		$178.23	$350.04	$684.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.59 / $641.25 / $1,221.32	Professional		$349.59	$641.25	$1,221.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,256.57 / $1,256.57 / $1,256.57	Facility		$1,256.57	$1,256.57	$1,256.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00