Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.36 / $1,017.85 / $2,731.45	Facility		$153.36	$1,017.85	$2,731.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,095.10 / $2,448.29 / $3,949.01	Facility		$2,095.10	$2,448.29	$3,949.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.02 / $283.50 / $1,333.79	Facility		$142.02	$283.50	$1,333.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.71 / $916.00 / $1,789.00	Facility		$145.71	$916.00	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.02 / $283.50 / $1,333.79	Facility		$142.02	$283.50	$1,333.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $795.66 / $2,511.94	Professional		$284.89	$795.66	$2,511.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,236.66 / $1,236.66 / $1,236.66	Facility		$1,236.66	$1,236.66	$1,236.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90