Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.43 / $798.73 / $14,482.00	Facility		$497.43	$798.73	$14,482.00
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 $1,008.35 / $1,178.33 / $1,900.62	Facility		$1,008.35	$1,178.33	$1,900.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $390.49 / $616.16 / $1,501.50	Facility		$390.49	$616.16	$1,501.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.81 / $3,036.00 / $6,312.00	Facility		$442.81	$3,036.00	$6,312.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $390.49 / $616.16 / $1,501.50	Facility		$390.49	$616.16	$1,501.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $787.80 / $1,216.48 / $1,619.53	Professional		$787.80	$1,216.48	$1,619.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,564.75 / $5,564.75 / $5,564.75	Facility		$5,564.75	$5,564.75	$5,564.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00