Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.18 / $814.82 / $14,482.00	Facility		$505.18	$814.82	$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 $1,015.56 / $1,186.76 / $1,914.21	Facility		$1,015.56	$1,186.76	$1,914.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.35 / $561.85 / $786.84	Facility		$398.35	$561.85	$786.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.14 / $2,803.00 / $7,868.00	Facility		$457.14	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $398.35 / $561.85 / $786.84	Facility		$398.35	$561.85	$786.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $813.15 / $1,255.63 / $1,653.31	Professional		$813.15	$1,255.63	$1,653.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,283.85 / $5,283.85 / $5,283.85	Facility		$5,283.85	$5,283.85	$5,283.85
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