Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.77 / $472.95 / $14,482.00	Facility		$292.77	$472.95	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,594.00 / $5,962.00	Facility		$1,905.00	$3,594.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.13 / $690.79 / $1,114.22	Facility		$591.13	$690.79	$1,114.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $366.10 / $451.93	Facility		$231.22	$366.10	$451.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.94 / $3,364.00 / $7,868.00	Facility		$264.94	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $366.10 / $451.93	Facility		$231.22	$366.10	$451.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $370.55 / $611.97 / $857.17	Professional		$370.55	$611.97	$857.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $1,951.39 / $1,951.39	Facility		$1,951.39	$1,951.39	$1,951.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00