Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.46 / $970.06 / $6,461.00	Facility		$232.46	$970.06	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $11,777.00 / $19,639.00	Facility		$1,979.00	$11,777.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,126.64 / $2,485.15 / $4,008.46	Facility		$2,126.64	$2,485.15	$4,008.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $217.33 / $403.90 / $1,236.85	Facility		$217.33	$403.90	$1,236.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.92 / $1,151.78 / $12,216.00	Facility		$225.92	$1,151.78	$12,216.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $217.33 / $403.90 / $1,236.85	Facility		$217.33	$403.90	$1,236.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $445.77 / $821.91 / $2,701.56	Professional		$445.77	$821.91	$2,701.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,580.53 / $1,580.53 / $1,580.53	Facility		$1,580.53	$1,580.53	$1,580.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00