Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.64 / $409.38 / $3,119.00	Facility		$207.64	$409.38	$3,119.00
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 $776.77 / $907.71 / $1,464.11	Facility		$776.77	$907.71	$1,464.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.22 / $344.26 / $678.24	Facility		$201.22	$344.26	$678.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.64 / $483.00 / $5,261.00	Facility		$207.64	$483.00	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.22 / $355.99 / $678.24	Facility		$201.22	$355.99	$678.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $393.55 / $669.41 / $1,036.88	Professional		$393.55	$669.41	$1,036.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,409.87 / $1,409.87 / $1,409.87	Facility		$1,409.87	$1,409.87	$1,409.87
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