Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $1,317.59 / $3,765.63	Facility		$171.21	$1,317.59	$3,765.63
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 $2,856.55 / $3,338.11 / $5,384.25	Facility		$2,856.55	$3,338.11	$5,384.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $332.30 / $1,703.75	Facility		$155.47	$332.30	$1,703.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $1,202.00 / $5,261.00	Facility		$165.85	$1,202.00	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $332.30 / $1,703.75	Facility		$155.47	$332.30	$1,703.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.67 / $989.91 / $3,617.84	Professional		$339.67	$989.91	$3,617.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,693.70 / $1,693.70 / $1,693.70	Facility		$1,693.70	$1,693.70	$1,693.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $4,523.30 / $6,564.00	Facility		$2,781.00	$4,523.30	$6,564.00