Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.38 / $1,101.19 / $2,959.78	Facility		$210.38	$1,101.19	$2,959.78
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 $2,254.60 / $2,634.68 / $4,249.64	Facility		$2,254.60	$2,634.68	$4,249.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.70 / $425.25 / $1,437.24	Facility		$194.70	$425.25	$1,437.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.60 / $944.77 / $1,789.00	Facility		$209.60	$944.77	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.70 / $425.25 / $1,437.24	Facility		$194.70	$425.25	$1,437.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $390.39 / $863.28 / $2,725.44	Professional		$390.39	$863.28	$2,725.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,557.12 / $1,557.12 / $1,557.12	Facility		$1,557.12	$1,557.12	$1,557.12
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