Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.10 / $656.26 / $14,482.00	Facility		$408.10	$656.26	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,653.00 / $11,863.00	Facility		$4,637.00	$7,653.00	$11,863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.32 / $955.10 / $1,540.54	Facility		$817.32	$955.10	$1,540.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $514.95 / $739.92	Facility		$320.83	$514.95	$739.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.33 / $2,553.00 / $7,700.00	Facility		$374.33	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $514.95 / $739.92	Facility		$320.83	$514.95	$739.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $667.55 / $1,030.80 / $1,339.45	Professional		$667.55	$1,030.80	$1,339.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,554.70 / $1,554.70 / $1,554.70	Facility		$1,554.70	$1,554.70	$1,554.70
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