Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.79 / $794.54 / $14,482.00	Facility		$492.79	$794.54	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,594.00 / $5,962.00	Facility		$1,905.00	$3,594.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.13 / $1,159.39 / $1,870.05	Facility		$992.13	$1,159.39	$1,870.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $614.26 / $759.23	Facility		$388.44	$614.26	$759.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $444.69 / $3,364.00 / $7,868.00	Facility		$444.69	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $614.26 / $759.23	Facility		$388.44	$614.26	$759.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $622.52 / $1,028.10 / $1,440.04	Professional		$622.52	$1,028.10	$1,440.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,258.08 / $3,258.08 / $3,258.08	Facility		$3,258.08	$3,258.08	$3,258.08
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