Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.95 / $1,014.37 / $2,751.82	Facility		$183.95	$1,014.37	$2,751.82
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 $169.14 / $425.25 / $1,475.42	Facility		$169.14	$425.25	$1,475.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.62 / $1,100.00 / $2,043.20	Facility		$180.62	$1,100.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.14 / $425.25 / $1,475.42	Facility		$169.14	$425.25	$1,475.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.42 / $804.29 / $2,539.19	Professional		$343.42	$804.29	$2,539.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,368.96 / $1,368.96 / $1,368.96	Facility		$1,368.96	$1,368.96	$1,368.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90