Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.72 / $908.96 / $1,894.00	Facility		$401.72	$908.96	$1,894.00
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 $1,184.97 / $1,384.73 / $2,233.53	Facility		$1,184.97	$1,384.73	$2,233.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $364.04 / $501.98 / $868.56	Facility		$364.04	$501.98	$868.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $388.31 / $652.25 / $8,292.34	Facility		$388.31	$652.25	$8,292.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $501.98 / $868.56	Facility		$351.60	$501.98	$868.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $742.99 / $1,051.78 / $1,570.09	Professional		$742.99	$1,051.78	$1,570.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,745.19 / $2,745.19 / $2,745.19	Facility		$2,745.19	$2,745.19	$2,745.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00