Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.46 / $670.91 / $14,482.00	Facility		$417.46	$670.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.04 / $979.32 / $1,579.61	Facility		$838.04	$979.32	$1,579.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $523.33 / $738.99	Facility		$328.00	$523.33	$738.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $377.88 / $2,553.00 / $7,700.00	Facility		$377.88	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $523.33 / $738.99	Facility		$328.00	$523.33	$738.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $1,038.83 / $1,364.01	Professional		$672.75	$1,038.83	$1,364.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,568.41 / $3,568.41 / $3,568.41	Facility		$3,568.41	$3,568.41	$3,568.41
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