Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $710.73 / $3,119.00	Facility		$248.39	$710.73	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.40 / $1,316.29 / $2,123.13	Facility		$1,126.40	$1,316.29	$2,123.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $381.07 / $797.71	Facility		$194.96	$381.07	$797.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.36 / $728.26 / $11,598.00	Facility		$219.36	$728.26	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $381.07 / $797.71	Facility		$194.96	$381.07	$797.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $816.00 / $1,391.11	Professional		$457.22	$816.00	$1,391.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,168.70 / $1,168.70 / $1,168.70	Facility		$1,168.70	$1,168.70	$1,168.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00