Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.29 / $997.09 / $14,482.00	Facility		$615.29	$997.09	$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 $1,235.44 / $1,443.70 / $2,328.64	Facility		$1,235.44	$1,443.70	$2,328.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $487.47 / $683.97 / $962.10	Facility		$487.47	$683.97	$962.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.41 / $2,803.00 / $7,868.00	Facility		$562.41	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $487.47 / $683.97 / $962.10	Facility		$487.47	$683.97	$962.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,001.65 / $1,546.70 / $2,012.91	Professional		$1,001.65	$1,546.70	$2,012.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,398.40 / $9,398.40 / $9,398.40	Facility		$9,398.40	$9,398.40	$9,398.40
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