Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.26 / $634.41 / $1,894.00	Facility		$210.26	$634.41	$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 $1,357.99 / $1,586.92 / $2,559.64	Facility		$1,357.99	$1,586.92	$2,559.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $364.22 / $796.49	Facility		$193.85	$364.22	$796.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $751.43 / $5,801.00	Facility		$202.51	$751.43	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $364.22 / $796.49	Facility		$193.85	$364.22	$796.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.92 / $721.99 / $1,758.08	Professional		$396.92	$721.99	$1,758.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,406.30 / $1,406.30 / $1,406.30	Facility		$1,406.30	$1,406.30	$1,406.30
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