Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.71 / $647.29 / $3,119.00	Facility		$224.71	$647.29	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.22 / $1,051.98 / $1,696.80	Facility		$900.22	$1,051.98	$1,696.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $331.82 / $648.54	Facility		$177.56	$331.82	$648.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.32 / $569.64 / $4,195.00	Facility		$199.32	$569.64	$4,195.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $331.82 / $648.54	Facility		$177.56	$331.82	$648.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $415.24 / $735.94 / $1,132.19	Professional		$415.24	$735.94	$1,132.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $841.48 / $841.48 / $841.48	Facility		$841.48	$841.48	$841.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00